Danielle Shea, PT
Individual provider Active NPI Physical Therapist · Dunn, NC
NPI 1811941545 · NPPES record last updated Dec 8, 2008
Key facts
- NPI
- 1811941545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4583 (NC)
- Practice address
- 721 Tilghman Dr
Suite 100
Dunn, NC 28334-6063 - Phone
- (910) 892-5635
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060711000372 | NC | Practitioner - Physical Therapist in Private Practice | 3173536331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 | Current | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Physical Therapist | 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 | |
| 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 |
Locations
721 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-5635
721 Tilghman Dr
Ste 100
Dunn, NC 28334
Phone (910) 891-4202
401 Attain St
Ste 121
Fuquay Varina, NC 27526
Phone (252) 443-0808
2413 Professional Dr
Rocky Mount, NC 27804
Phone (252) 443-0808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4583 | NC | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067W3 | Other | NC | BCBS |
| 2743631 | Other | UHC | |
| 7275569 | Medicaid | NC | |
| 7385878 | Other | AETNA | |
| 195347 | Other | MEDCOST | |
| 198336 | Other | NC | MED RISK |
Other providers in Dunn, NC
- Sedmed PA
- Senior Helpers
- Alyssa Davis Senter
- Gabrielle Sharp
- Charles Shavers
- Marvin J Sherron II
- Shipman Family Home Care Inc.
- Joseph Sibley
- Thurmond Eric Siceloff
- Pryia Simmons
All providers in Dunn, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.