Individual provider Active NPI

David McIlwain

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1689114340
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2024-0123 Issued in NM
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

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200406002291 CO Practitioner - Physical Therapist in Private Practice 3779857347 Reassigns benefits to 1 organization
I20240722003425 NM Practitioner - Physical Therapist in Private Practice 3779857347 Reassigns benefits to 1 organization

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
Orthopedic Associates PAGroup PAC ID 1355254244, 19 clinicians

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 100Reported as group
Quality
64
Promoting interoperability
100
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16852NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates PA CurrentSince May 28, 2024 Accepting new patients
Orthopedic Associates PA Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Advantage Physical Therapy & Wellness, PC Physical Therapist CurrentSince Apr 6, 2020 Accepting new patients
Salem Physical Therapy and Sports Rehab PastSince Feb 28, 2017 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.

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.

Verify at the official NPI Registry.