Physical Therapy for Life

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4840 Issued in NC

Legal business name

PHYSICAL THERAPY FOR LIFE

Practice address

6611 Danton St
Wilmington, NC 28412-3062

Phone

(910) 452-1922

NPI assigned

May 23, 2011

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Ann Kaczynski-Cajigas, PTNPI 1730269663

Title

President

Phone

(910) 264-2643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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.

• Susan A Kaczynski-Cajigas, PT

  • Physical Therapist
  • Wilmington, NC
  • NPI 1730269663
  Medicare reassignment NPD Authorized official
• Charles Mitchell Winstead, PTA

  • Physical Therapy Assistant
  • Wilmington, NC
  • NPI 1114223021
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1760775894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15552",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085552",
            "telephone_number": "910-452-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 DANTON ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123062",
            "telephone_number": "910-452-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "KACZYNSKI-CAJIGAS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-264-2643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoie Brianne Phillips, PA-C
• Phoenix Rehabilitation Associates, Inc.
• Phoenix Therapy & Wellness, PLLC
• Phyllis B. Cook, DDS, PA
• Phyllis Coulter Everett (Sapient Health Services)
• Physical Therapy for Women, Inc
• Physical Therapy Services of Wilmington
• Physical Therapy Services of Wilmington at Porter's Neck, LLC
• Physician Alliance for Mental Health
• Physician Alliance for Mental Health LLC

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.