Active NPI
David McIlwain
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2024-0123
- Practice address
- 3098 Healy Dr
Winston Salem, NC 27103-1432 - Phone
- (336) 245-8754
- NPI assigned
- Feb 28, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16852 | NC | |
| Physical Therapist | 225100000X | PT-2024-0123 | NM | Primary |
Addresses
Primary practice location
3098 Healy Dr
Winston Salem, NC 27103-1432
Mailing address
PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258
Other practice location 1
1800 E 30th St Ste A
Farmington, NM 87401-9003
Phone (505) 943-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E 30TH St
Suite a
Farmington, NM 87401-9040
Phone (505) 943-0022
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.44 of 100
- Quality
- 64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16852 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates PA | Current | Accepting new patients | |
| Orthopedic Associates PA | Physical Therapist | Current | Accepting new patients |
| Advantage Physical Therapy & Wellness, PC | Physical Therapist | Current | Accepting new patients |
| Salem Physical Therapy and Sports Rehab | Past | Accepting new patients |
Locations
3600 Main Ave
Ste A
Durango, CO 81301
Phone (970) 259-7829
2300 E 30th St
Bldg D-101
Farmington, NM 87401
Phone (505) 327-1400
1800 E 30th St
Ste A
Farmington, NM 87401
Phone (505) 208-6280
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.
-
- Orthopaedic Surgery Physician
- Farmington, NM
- NPI 1750356820
Physical Therapist
-
- Physical Therapist
- Durango, CO
- NPI 1790850824
-
- Foot & Ankle Surgery Podiatrist
- Farmington, NM
- NPI 1265238513
-
- Rehabilitation Hospital
- Winston Salem, NC
- NPI 1730555202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1689114340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844088",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844088",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3098 HEALY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031432",
"telephone_number": "336-245-8754"
}
],
"practiceLocations": [
{
"address_1": "1800 E 30th St Ste A",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874019003",
"country_code": "US",
"telephone_number": "505-943-0022",
"fax_number": "505-943-0015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCILWAIN",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-28",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16852",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2024-0123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.