Individual provider Active NPI

Hillary Wagstaff Thomas, PT, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1699414797
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14445 Issued in NC
Practice address
1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Phone
(919) 748-4980
Fax
(919) 816-2012
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 P14445 NC Primary
Physical Therapist 225100000X 2305208378 VA

Addresses

Primary practice location

1821 Martin Luther King Pkwy
Durham, NC 27707-6336

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379

Other practice location 1

5705 Fayetteville Rd
Durham, NC 27713-5318
Phone (919) 794-8008

Other names 1

  • Hillary Grace Wagstaff Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902000898 NC Practitioner - Physical Therapist in Private Practice 6901280379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14445NCMDPhysical Therapist
2305208378VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jun 25, 2023 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 30, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 30, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Avance Care, PA CurrentSince Jul 9, 2023 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

5705 Fayetteville Rd
Durham, NC 27713
Phone (919) 401-0100

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 9

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1699414797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 MARTIN LUTHER KING PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076336",
            "telephone_number": "919-748-4980",
            "fax_number": "919-816-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5705 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135318",
            "country_code": "US",
            "telephone_number": "919-794-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HILLARY",
        "middle_name": "WAGSTAFF",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14445",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "WAGSTAFF",
            "middle_name": "GRACE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.