Port City Physical Therapy, Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2549 Issued in NC

Legal business name

PORT CITY PHYSICAL THERAPY, INC.

Practice address

321 N Front St
Wilmington, NC 28401-3908

Phone

(910) 763-7674

Fax

(910) 763-8533

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Royce Jarboe, PT

Title

President/Ceo

Phone

(910) 763-7674

Specialties & licenses 4

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1861580102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N FRONT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013908",
            "telephone_number": "910-763-7674",
            "fax_number": "910-763-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N FRONT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013908",
            "telephone_number": "910-763-7674",
            "fax_number": "910-763-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "JARBOE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-763-7674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "NC",
            "license": "1796",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2549",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "2549",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200115",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210534",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MASSAGE THERAPIST LIC#",
            "identifier": "173",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1821190075",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PT LICENSE NUMBER",
            "identifier": "2549",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port City Eye Associates, OD, P.a.
• Port City Family and Cosmetic Dentistry
• Port City Medical Associates
• Port City Neurosurgery and Spine, P.C.
• Port City Optometry, PLLC
• Port City Speech, PLLC
• Port City Therapy, PLLC
• Port City Urgent Care PC
• Port Health Services
• Port Health Services

• Orthopedic Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.