NPIMap

Organization Active NPI

Carolina Strong Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Southport, NC
National Provider Identifier
1851783815
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10701 Issued in NC
Legal business name
CAROLINA STRONG PHYSICAL THERAPY, LLC
Practice address
4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069
Phone
(910) 477-6236
Fax
(910) 477-6357
NPI assigned
Feb 28, 2015
Last updated
Apr 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Authorized official

Name
Dr. Michael Scott Payne, PT, DPTNPI 1366606121
Title
Physical Therapist
Phone
(910) 477-6236

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 Therapy Clinic/Center 261QP2000X 10701 NC Primary

Addresses

Primary practice location

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069

Mailing address

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (910) 477-6236

Other practice location 1

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (910) 477-6236

National Provider Directory

National Provider Directory

Locations

3960 Executive Park Blvd
Unit 5
Southport, NC 28461
Phone (910) 357-5748

4002 Executive Park Blvd
Ste 800
Southport, NC 28461
Phone (910) 357-5748

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1851783815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 COMMERCE AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877059",
            "telephone_number": "910-477-6236",
            "fax_number": "910-477-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD STE 800",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619069",
            "telephone_number": "910-477-6236",
            "fax_number": "910-477-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283877059",
            "country_code": "US",
            "telephone_number": "910-477-6236",
            "fax_number": "910-477-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA STRONG PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-477-6236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "10701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.