Active NPI
Elizabeth Henry, PT
- Orthopedic Physical Therapist
- Wilmington, NC
National Provider Identifier
1639388259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P12597
- Practice address
- 6752 Parker Farm Dr
Suite 1B
Wilmington, NC 28405-3175 - Phone
- (910) 679-4095
- Fax
- (910) 338-1760
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | P12597 | NC | Primary |
| Sports Physical Therapist | 2251S0007X | P12597 | NC |
Addresses
Primary practice location
6752 Parker Farm Dr
Suite 1B
Wilmington, NC 28405-3175
Mailing address
6752 Parker Farm Dr
Suite 1B
Wilmington, NC 28405-3175
Phone (910) 679-4095
Other names 1
- Liz Henry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6752 Parker Farm Dr
1B
Wilmington, NC 28405-3175
Phone (910) 670-4095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeforce Physical Therapy and Wellness, Corp. | Sports | Current | Accepting new patients |
| Core Therapy Services, Inc. | Sports | Past | Accepting new patients |
| Marika Molnar Physical Therapist PC | Past | Accepting new patients |
Locations
6752 Parker Farm Dr
#1B
Wilmington, NC 28405
Phone (910) 670-4095
6752 Parker Farm Dr
Ste 1B
Wilmington, NC 28405
Phone (910) 679-4095
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1386917896
Sports
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1962503664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1639388259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6752 PARKER FARM DR",
"address_2": "SUITE 1B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053175",
"telephone_number": "910-679-4095",
"fax_number": "910-338-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6752 PARKER FARM DR",
"address_2": "SUITE 1B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053175",
"telephone_number": "910-679-4095",
"fax_number": "910-338-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P12597",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P12597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "HENRY",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.