Phoenix Physical Therapy & Wellness Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX PHYSICAL THERAPY & WELLNESS CENTER, INC

Practice address

500 Benson Rd Ste 114
Garner, NC 27529-3947

Phone

(919) 323-8888

Fax

(855) 554-1184

NPI assigned

Jul 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angel Ballentine, PT

Title

Owner/Ceo

Phone

(919) 410-7312

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1639731136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 KEYSTONE PARK DR UNIT 22",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606101",
            "telephone_number": "919-410-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BENSON RD STE 114",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293947",
            "telephone_number": "919-323-8888",
            "fax_number": "855-554-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4013 Tryon Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276064209",
            "country_code": "US",
            "telephone_number": "919-410-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-08-29",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-410-7312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639731136",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@phoenixraleigh.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "500 Benson Rd Ste 114",
            "city": "Garner",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275293947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Perkins, RBT
• Cara Nicole Peroni, CCC-SLP
• April Wilson Phillips, PT
• Regina Phillips
• Miranda Phipps
• Phoenix Therapeutics, PLLC
• Phytcare LLC
• Erica Adell Pierce, PHARMD
• Tracipha Pierrepaul
• Kyleigh Holt Pierson, DPM

• Physical Therapist in Garner, NC
• Providers in Garner, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.