Individual provider Active NPI

Anita Gayle Fleming, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Morehead City, NC
National Provider Identifier
1790742583
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P2954 Issued in NC
Practice address
4251 Arendell Street
Suite B
Morehead City, NC 28557-2871
Phone
(252) 808-3100
Fax
(252) 808-3120
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2954 NC
Orthopedic Physical Therapist 2251X0800X P2954 NC Primary

Addresses

Primary practice location

4251 Arendell Street
Suite B
Morehead City, NC 28557-2871

Mailing address

4251 Arendell Street
Suite B
Morehead City, NC 28557-2871
Phone (252) 808-3100

Other identifiers 1

IdentifierTypeStateIssuer
0783LOtherNCBCBSNC

Other names 1

  • Mrs. Anita Fleming Sklar 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
2954NCMDPhysical Therapist
P2954NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pain Center, P.C PastSince Sep 1, 2013 Accepting new patients
Carolina Health & Fitness, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7220/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1790742583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 ARENDELL STREET",
            "address_2": "SUITE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572871",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 ARENDELL STREET",
            "address_2": "SUITE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572871",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ANITA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2954",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P2954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0783L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "SKLAR",
            "middle_name": "FLEMING",
            "prefix": "MRS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.