Individual provider Active NPI

Alexa Hairr

  • Physical Therapist
  • Havelock, NC
National Provider Identifier
1780163352
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18238 Issued in NC
Practice address
1202 E Main St
Havelock, NC 28532-2405
Phone
(252) 447-4005
Fax
(252) 447-4001
NPI assigned
Aug 14, 2018
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P18238 NC Primary

Addresses

Primary practice location

1202 E Main St
Havelock, NC 28532-2405

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 608-0865

Other practice location 1

2 The Square At Lillington
Lillington, NC 27546-8030
Phone (910) 893-2850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926002435 NC Practitioner - Physical Therapist in Private Practice 8022369248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy SeniorsGroup PAC ID 5193155695, 11 clinicians

Practice addresses (Care Compare)

4829 Carolina Beach Rd
Suite 100
Wilmington, NC 28412-2366
Phone (910) 444-0020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P18238NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Seniors CurrentSince Feb 21, 2023 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Havelock Peak Performance Sports & Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1202 E Main St
Havelock, NC 28532
Phone (252) 447-4005

2783 Compass Pointe South Wynd NE
Unit 5
Leland, NC 28451
Phone (910) 371-8100

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

2026 Waterscape Way
Ste 13
New Bern, NC 28562
Phone (252) 288-6925

4829 Carolina Beach Rd
Ste 100
Wilmington, NC 28412
Phone (910) 444-0020

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, 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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1780163352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-608-0865",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322405",
            "telephone_number": "252-447-4005",
            "fax_number": "252-447-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 The Square At Lillington",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275468030",
            "country_code": "US",
            "telephone_number": "910-893-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIRR",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.