NPIMap

Organization Active NPI

Hampstead Physical Therapy

  • Physical Therapist
  • Hampstead, NC
National Provider Identifier
1851569743
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9438 Issued in NC
Legal business name
HAMPSTEAD PHYSICAL THERAPY
Practice address
16406 Hwy. 17 Ste. 9
Hampstead, NC 28443
Phone
(910) 270-6026
Fax
(910) 270-6028
NPI assigned
Feb 14, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Preston Almand Walker Jr., PTNPI 1588615967
Title
Owner & Physical Therapist
Phone
(910) 270-6026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9438 NC Primary

Addresses

Primary practice location

16406 Hwy. 17 Ste. 9
Hampstead, NC 28443

Mailing address

16406 Hwy. 17 Ste. 9
Hampstead, NC 28443
Phone (910) 270-6026

Other identifiers 1

IdentifierTypeStateIssuer
01957OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000131 NC Part B Supplier - Clinic/Group Practice 9436234580 Receives reassigned benefits from 9 practitioners
Practice locations: Hampstead, NC; Sneads Ferry, NC

National Provider Directory

National Provider Directory

Locations

2660 NC Highway 210 E
Ste 102
Hampstead, NC 28443
Phone (910) 803-2424

2017 NC Highway 172
#B
Sneads Ferry, NC 28460
Phone (910) 270-6026

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1851569743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16406 HWY. 17 STE. 9",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-270-6026",
            "fax_number": "910-270-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16406 HWY. 17 STE. 9",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-270-6026",
            "fax_number": "910-270-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSTEAD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "ALMAND",
        "authorized_official_title_or_position": "OWNER & PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-270-6026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01957",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.