NPIMap

Organization Active NPI

Weaverville Physical Therapy and Wellness

Doing business as Big Ivy Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Weaverville, NC
National Provider Identifier
1700446770
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WEAVERVILLE PHYSICAL THERAPY AND WELLNESS
Doing business as
Big Ivy Physical Therapy and Wellness
Practice address
3 Garrison Rd Ste 101
Weaverville, NC 28787-9215
Phone
(828) 675-6875
NPI assigned
Jun 20, 2019
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Angel Elizabeth Trail, PTNPI 1619165933
Title
Owner
Phone
(828) 675-6875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

3 Garrison Rd Ste 101
Weaverville, NC 28787-9215

Mailing address

3 Garrison Rd Ste 101
Weaverville, NC 28787-9215
Phone (828) 675-6875

Other names 1

  • Big Ivy Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203000953 NC Part B Supplier - Clinic/Group Practice 5496188658 Receives reassigned benefits from 7 practitioners
Practice locations: Weaverville, NC

National Provider Directory

National Provider Directory

Locations

108 Monticello Rd
Ste 1890
Weaverville, NC 28787
Phone (828) 675-6875

285 N Main St
Weaverville, NC 28787

3 Garrison Rd
#101
Weaverville, NC 28787
Phone (828) 675-6875

7 Garrison Rd
Weaverville, NC 28787
Phone (828) 675-6875

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1700446770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GARRISON RD STE 101",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879215",
            "telephone_number": "828-675-6875",
            "fax_number": "828-658-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GARRISON RD STE 101",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879215",
            "telephone_number": "828-675-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVERVILLE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-675-6875",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Ivy Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.