Active NPI
Douglas Alan Hines Jr., PT
- Physical Therapist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23738
- Practice address
- 11010 Monroe Rd
Matthews, NC 28105-8517 - Phone
- (704) 246-6989
- NPI assigned
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214586 | VA | |
| Physical Therapist | 225100000X | CP024194T | NC | |
| Physical Therapist | 225100000X | P23738 | NC | Primary |
Addresses
Primary practice location
11010 Monroe Rd
Matthews, NC 28105-8517
Mailing address
8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone (704) 900-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11010 Monroe Rd
Matthews, NC 28105-8517
Phone (704) 900-8960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Architech Sports and Physical Therapy, LLC | Current | Accepting new patients | |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Architech Sports and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867
8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357
1001 Van Buren Ave
Ste 3
Indian Trail, NC 28079
Phone (704) 628-6053
11010 Monroe Rd
Matthews, NC 28105
Phone (704) 246-6989
1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851
20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812
118 Oakwood Dr
#B
Madison Heights, VA 24572
Phone (434) 845-5641
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.
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- NPI 1780834697
-
- Physical Therapist
- Lynchburg, VA
- NPI 1144770835
-
- Orthopedic Physical Therapist
- Fort Mill, SC
- NPI 1134894389
-
- Durable Medical Equipment & Medical Supplies
- Lynchburg, VA
- NPI 1851843718
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1851066237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8918 BLAKENEY PROFESSIONAL DR STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776692",
"telephone_number": "704-900-8960",
"fax_number": "704-817-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 MONROE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058517",
"telephone_number": "704-246-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "DOUGLAS",
"middle_name": "ALAN",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-09",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214586",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP024194T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.