Active NPI
Danielle Shea, PT
- Physical Therapist
- Dunn, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4583
- Practice address
- 721 Tilghman Dr
Suite 100
Dunn, NC 28334-6063 - Phone
- (910) 892-5635
- NPI assigned
- May 19, 2006
- Last updated
- Dec 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4583 | NC | Primary |
Addresses
Primary practice location
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6063
Mailing address
2413 Professional Dr
PO Box 7594
Rocky Mount, NC 27804-2254
Phone (252) 443-0808
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067W3 | Other | NC | BCBS |
| 198336 | Other | NC | MED RISK |
| 2743631 | Other | UHC | |
| 7385878 | Other | AETNA | |
| 195347 | Other | MEDCOST | |
| 7275569 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4583 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy Associates LLC | Current | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Physical Therapy Associates LLC | Current | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Cora North Carolina, LLC | Past | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Past | Accepting new patients |
Locations
721 Tilghman Dr
Ste 100
Dunn, NC 28334
Phone (910) 891-4202
721 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-5635
401 Attain St
Ste 121
Fuquay Varina, NC 27526
Phone (252) 443-0808
2413 Professional Dr
Rocky Mount, NC 27804
Phone (252) 443-0808
Organizations & group practices 10
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.
-
dba CORA Physical Therapy - Chapel Hill
- Rehabilitation Clinic/Center
- Chapel Hill, NC
- NPI 1710429543
-
dba CORA Physical Therapy - Hendersonville
- Rehabilitation Clinic/Center
- Hendersonville, NC
- NPI 1336890086
-
- Rehabilitation Clinic/Center
- Nashville, NC
- NPI 1629022199
Physical Therapist
-
dba CORA Physical Therapy - Washington
- Rehabilitation Clinic/Center
- Washington, NC
- NPI 1255873972
-
dba CORA Physical Therapy - Harrisburg
- Rehabilitation Clinic/Center
- Harrisburg, NC
- NPI 1316554397
-
dba CORA Physical Therapy - Louisburg
- Rehabilitation Clinic/Center
- Louisburg, NC
- NPI 1417499112
-
dba CORA Physical Therapy - Denver
- Rehabilitation Clinic/Center
- Denver, NC
- NPI 1619563392
-
dba CORA Physical Therapy - Nashville
- Rehabilitation Clinic/Center
- Nashville, NC
- NPI 1891237673
-
dba CORA Physical Therapy - Dunn
- Rehabilitation Clinic/Center
- Dunn, NC
- NPI 1992247613
-
dba CORA Physical Therapy - Wilmington
- Rehabilitation Clinic/Center
- Wilmington, NC
- NPI 1467964189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1811941545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 PROFESSIONAL DR",
"address_2": "PO BOX 7594",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042254",
"telephone_number": "252-443-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 TILGHMAN DR",
"address_2": "SUITE 100",
"city": "DUNN",
"state": "NC",
"postal_code": "283346063",
"telephone_number": "910-892-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "DANIELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "067W3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED RISK",
"identifier": "198336",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2743631",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7385878",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "195347",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7275569",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.