Alexa Hairr

Individual provider Active NPI Physical Therapist · Havelock, NC

NPI 1780163352 · NPPES record last updated Jan 10, 2023

Key facts

NPI
1780163352
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
P18238 (NC)
Practice address
1202 E Main St
Havelock, NC 28532-2405
Phone
(252) 447-4005
Fax
(252) 447-4001
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Seniors (11 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
P18238NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist Current
since Aug 8, 2022
Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current
since Aug 8, 2022
Accepting new patients
Havelock Peak Performance Sports & Physical Therapy, LLC Physical Therapist Current
since Nov 2, 2020
Accepting new patients
Healthy Seniors Current
since Feb 21, 2023
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) 447-4001

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
080947OtherNCOPTUM

Other providers in Havelock, NC

All providers in Havelock, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.