Active NPI
Rachel Dawson, DPT
- Physical Therapist
- Beaufort, NC
National Provider Identifier
1740693175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14936
- Practice address
- 105 Professional Park Dr
Beaufort, NC 28516-2418 - Phone
- (252) 726-1802
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- 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 | 14936 | NC | Primary |
Addresses
Primary practice location
105 Professional Park Dr
Beaufort, NC 28516-2418
Mailing address
105 Professional Park Dr
Beaufort, NC 28516-2418
Phone (252) 726-1802
Other names 1
- Rachel Marie Wyman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722001409 | WI | Practitioner - Physical Therapist in Private Practice | 0941427801 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14936 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Move Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
2201 Lake Shore Dr E
Ashland, WI 54806
Phone (715) 685-6600
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.
-
- Physical Therapist
- Morehead City, NC
- NPI 1275156887
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Family Medicine Physician
- Ashland, WI
- NPI 1316999485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1740693175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PROFESSIONAL PARK DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285162418",
"telephone_number": "252-726-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PROFESSIONAL PARK DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285162418",
"telephone_number": "252-726-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "RACHEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WYMAN",
"middle_name": "MARIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.