Active NPI
Gordon Thomas, PT
- Physical Therapist
- Wilson, NC
National Provider Identifier
1689325110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P4645
- Practice address
- 1803 Forest Hills Rd W
Wilson, NC 27893-3412 - Phone
- (252) 243-9629
- NPI assigned
- Jan 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P4645 | NC | Primary |
Addresses
Primary practice location
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P4645 | Other | NC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-9629
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4645 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
1803 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 237-9200
Interoperability endpoints
- gordon.thomas.1@847.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1689325110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 FOREST HILLS RD W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933412",
"telephone_number": "252-243-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GORDON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P4645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "P4645",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
- The Mental Health Association in North Carolina, Inc.
- The Village Home Care LTD. Liability Co.
- Kennette Renee Thigpen, MSW LCSW
- Octavia Nicole Thigpen
- Crystal Kennedy Thomas, PT
- James Robert Thomas, RPH
- Leah D Thomas, AU.D., CCC-A
- Pamela Collie Thomas, LCAS
- Sarah Danielle Thomas, HIS
- Matthew Robert Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.