Tammy Statham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11875 Issued in NC

Practice address

201 Starboard CT
Emerald Isle, NC 28594-7152

Phone

(252) 648-1581

NPI assigned

Feb 22, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1679870034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STARBOARD CT",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285947152",
            "telephone_number": "252-648-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STARBOARD CT",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285947152",
            "telephone_number": "252-648-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHAM",
        "first_name": "TAMMY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Parker, RPH
• Emily Kay Rideout, ATC
• Ashley I Robinson
• Sagestone PLLC
• Grace Elizabeth Seamon, M.S., LMFTA
• The Doctors Office PA
• Joseph Thompson, R.N.
• Town of Emerald Isle (Emerald Isle Fire Department)
• Jeremy Waddell, NP-C
• Jesse Bright Walker, L.AC., LMBT

• Physical Therapist in Emerald Isle, NC
• Providers in Emerald Isle, 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 Feb 22, 2011; 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.