Individual provider Active NPI

Michelle Renae Howe, DPT

  • Physical Therapist
  • Newton, NC
National Provider Identifier
1780017939
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP024354T Issued in NC
Practice address
825 W 25TH St
Newton, NC 28658-2852
Phone
(828) 485-4594
Fax
(828) 330-2093
NPI assigned
Aug 12, 2013
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9803 TN
Physical Therapist 225100000X CP011486T VA
Physical Therapist 225100000X CP018887T KY
Physical Therapist 225100000X CP024354T NC Primary

Addresses

Primary practice location

825 W 25TH St
Newton, NC 28658-2852

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 485-4594

Other practice location 1

315 W 5th St Ste 200
Benton, KY 42025-1152
Phone (270) 252-7200

Other identifiers 1

IdentifierTypeStateIssuer
CP024354TOtherNCPT LICENSE

Other names 1

  • Michelle R Duckworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP018887TKYMDPhysical Therapist
CP024354TNCMDPhysical Therapist
CP011486TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Physical Therapy, PLLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist Past Accepting new patients

Locations

315 W 5th St
Ste 200
Benton, KY 42025
Phone (270) 252-7200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1780017939",
    "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",
            "telephone_number": "828-485-4594",
            "fax_number": "828-330-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 25TH ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286582852",
            "telephone_number": "828-485-4594",
            "fax_number": "828-330-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420251152",
            "country_code": "US",
            "telephone_number": "270-252-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWE",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9803",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP011486T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP018887T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP024354T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "CP024354T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DUCKWORTH",
            "middle_name": "R",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.