Active NPI
Donna E. Fender, PT
- Physical Therapist
- Roanoke Rapids, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8471
- Practice address
- 310 Roanoke Ave
Roanoke Rapids, NC 27870-1918 - Phone
- (252) 678-4065
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8471 | NC | Primary |
Addresses
Primary practice location
310 Roanoke Ave
Roanoke Rapids, NC 27870-1918
Mailing address
310 Roanoke Ave
Roanoke Rapids, NC 27870-1918
Phone (252) 541-1941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7212307 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090203000738 | NC | Practitioner - Physical Therapist in Private Practice | 2365506482 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Brody School of Medicine at East Carolina University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dfender Physical Therapy LLC
Practice addresses (Care Compare)
310 Roanoke Ave
Roanoke Rapids, NC 27870-1918
Phone (252) 678-4065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8471 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Dfender Physical Therapy, LLC | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Northern Carolina Orthopaedics, PLLC | Past | Accepting new patients | |
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
1205 E 10th St
Roanoke Rapids, NC 27870
310 Roanoke Ave
Roanoke Rapids, NC 27870
Phone (252) 541-1941
171 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 537-5631
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Physical Therapist
- Manteo, NC
- NPI 1346466430
-
- Physical Therapist
- Elizabeth City, NC
- NPI 1457418311
-
- Orthopaedic Surgery Physician
- Roanoke Rapids, NC
- NPI 1912035593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1912199894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ROANOKE AVE",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278701918",
"telephone_number": "252-541-1941",
"fax_number": "866-521-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 ROANOKE AVE",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278701918",
"telephone_number": "252-678-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "DONNA",
"middle_name": "E.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212307",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
- Family Preservation Services of NC, Inc
- Family Preservation Services of NC, Inc - Chaloner
- Family Preservation Services of NC, Inc - Manning
- Family Preservation Services of North Carolina, Inc - Belmont
- Jessica Featherling
- Kimberly Shearin Ferguson
- Kristen Arayna Fields, D.D.S.
- Mario Grazia Fiorilli, MD
- Carl Hobbs Fisher, PHARMD
- Mattie Danielle Fleming-Brown
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.