Individual provider Active NPI

James McLeod Wilson Jr., DPT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1679164883
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20229 Issued in NC
Practice address
251 W Center St
Holly Springs, NC 27540-5900
Phone
(919) 577-9200
Fax
(919) 577-9292
NPI assigned
Jan 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20229 NC Primary

Addresses

Primary practice location

251 W Center St
Holly Springs, NC 27540-5900

Mailing address

251 W Center St
Holly Springs, NC 27540-5900
Phone (919) 577-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000155 NC Practitioner - Physical Therapist in Private Practice 6507271095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Physical Therapy and Performance, LLCGroup PAC ID 9537608633, 5 clinicians

Practice addresses (Care Compare)

251 W Ctr St
Holly Springs, NC 27540-5900
Phone (919) 577-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P20229NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Physical Therapy and Performance, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jan 24, 2022 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Jan 24, 2022 Accepting new patients

Locations

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

704 N Judd Pkwy NE
Ste 100
Fuquay Varina, NC 27526
Phone (919) 896-7158

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

500 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 258-2200

251 W Center St
Holly Springs, NC 27540
Phone (919) 285-2157

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1679164883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W CENTER ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405900",
            "telephone_number": "919-577-9200",
            "fax_number": "919-577-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W CENTER ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405900",
            "telephone_number": "919-577-9200",
            "fax_number": "919-577-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "MCLEOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.