Individual provider Active NPI

Joseph Orbaczewski, PT, DPT

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1811328974
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16686 Issued in NC
Practice address
6011 Farrington Rd Ste 303
Chapel Hill, NC 27517-8168
Phone
(984) 974-3696
Fax
(984) 974-5305
NPI assigned
Nov 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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 P16686 NC Primary

Addresses

Primary practice location

6011 Farrington Rd Ste 303
Chapel Hill, NC 27517-8168

Mailing address

6011 Farrington Rd Ste 303
Chapel Hill, NC 27517-8168
Phone (984) 974-3696

Other practice location 1

108 Swedesboro Rd Ste 10
Mullica Hill, NJ 08062-1800
Phone (856) 223-8898

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
P16686NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Drive Physio & Performance, LLC Current Accepting new patients

Organizations & group practices 1

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1811328974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD STE 303",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178168",
            "telephone_number": "984-974-3696",
            "fax_number": "984-974-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON RD STE 303",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178168",
            "telephone_number": "984-974-3696",
            "fax_number": "984-974-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Swedesboro Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080621800",
            "country_code": "US",
            "telephone_number": "856-223-8898",
            "fax_number": "856-223-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORBACZEWSKI",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.