Individual provider Active NPI

Eliza Farrell

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1902680648
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1092 Hampton Inn Way Ste 500
Jacksonville, NC 28546-7639
Phone
(910) 500-6882
NPI assigned
Aug 23, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 NU Primary

Addresses

Primary practice location

1092 Hampton Inn Way Ste 500
Jacksonville, NC 28546-7639

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 558-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231006000799 NC Practitioner - Physical Therapist in Private Practice 3971958208 Reassigns benefits to 1 organization
I20251009003415 TX Practitioner - Physical Therapist in Private Practice 3971958208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

5718 Spohn Dr
Suite 200
Corpus Christi, TX 78414-4236
Phone (361) 906-2062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Aug 26, 2025 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

1092 Hampton Inn Way
Ste 500
Jacksonville, NC 28546
Phone (910) 500-6882

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

2222 Airline Rd
Ste B2
Corpus Christi, TX 78414

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

5108 McPherson Rd
Ste 3
Laredo, TX 78041
Phone (956) 726-4443

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

Organizations & group practices 4

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1902680648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-558-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 HAMPTON INN WAY STE 500",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467639",
            "telephone_number": "910-500-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.