Carolina Beach Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAROLINA BEACH PHYSICAL THERAPY

Practice address

1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939

Phone

(910) 309-8141

NPI assigned

Jul 5, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurie Jean Etherington, PTNPI 1881047355

Title

Owner

Phone

(910) 309-8141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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.

• Laurie Jean Etherington, PT

  • Physical Therapist
  • Carolina Beach, NC
  • NPI 1881047355
  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlyn Leeann Carpenter, PT, DPT

  • Physical Therapist
  • Carolina Beach, NC
  • NPI 1700543154
  Medicare reassignment Care Compare group NPD
• Tayler Eshbach

  • Physical Therapist
  • Carolina Beach, NC
  • NPI 1023754132
  Medicare reassignment Care Compare group NPD
• Colin McGlynn, DPT

  • Physical Therapist
  • Wilmington, NC
  • NPI 1710465471
  Medicare reassignment Care Compare group NPD
• Gregory C Musgnug, DPT

  • Physical Therapist
  • Carolina Beach, NC
  • NPI 1003461435
  Medicare reassignment

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1891216362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "address_2": "BLDG 3",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD STE 3",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283939",
            "telephone_number": "910-309-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BEACH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "ETHERINGTON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-309-8141",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian Brezinski, MD
• Paula Conaway Bruner, PA
• Robert A Bucciere, LCSW
• John B Callahan, BSW, MPA, CCM
• Carolina Beach Counseling, LLC
• Kaitlyn Leeann Carpenter, PT, DPT
• Allison Carte
• Amanda Dixon Cerqueira, DDS, PA
• Roberta Clark
• Coastal Mental Health Service Providers

• Physical Therapy Clinic/Center in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.