Individual provider Active NPI

Warren Dean McCall, PT

  • Physical Therapist
  • Williamston, NC
National Provider Identifier
1881710960
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9713 Issued in NC
Practice address
115 West Blvd
Williamston, NC 27892-2663
Phone
(252) 792-7908
Fax
(252) 792-5924
NPI assigned
Mar 21, 2007
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9713 NC Primary

Addresses

Primary practice location

115 West Blvd
Williamston, NC 27892-2663

Mailing address

PO Box 1181
Williamston, NC 27892-1181
Phone (252) 792-7316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141213000269 NC Practitioner - Physical Therapist in Private Practice 4789906116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Therapy ServicesGroup PAC ID 1052633484, 7 clinicians

Practice addresses (Care Compare)

2756 US Hwy 64 E
Plymouth, NC 27962-8903
Phone (252) 791-1006

Merit-based Incentive Payment System (MIPS)

Final score
33.51 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
78.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9713NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Therapy Services Current Accepting new patients
Roanoke Therapy Services Physical Therapist CurrentSince Dec 9, 2013 Accepting new patients
Roanoke Therapeutic Services Inc Past Accepting new patients

Locations

2756 US Highway 64 E
Plymouth, NC 27962
Phone (252) 791-1006

115 W Boulevard
Williamston, NC 27892
Phone (252) 792-7908

241 Green St
Williamston, NC 27892
Phone (252) 799-8808

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1881710960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1181",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921181",
            "telephone_number": "252-792-7316",
            "fax_number": "252-809-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922663",
            "telephone_number": "252-792-7908",
            "fax_number": "252-792-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "WARREN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.

Verify at the official NPI Registry.