Active NPI
Adam Sutphin
- Physical Therapist
- Clinton, NC
National Provider Identifier
1912373044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15771
- Practice address
- 317 North Blvd
Clinton, NC 28328-1911 - Phone
- (919) 300-5040
- NPI assigned
- Aug 12, 2015
- Sex
- Male
- 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 | 15771 | NC | Primary |
Addresses
Primary practice location
317 North Blvd
Clinton, NC 28328-1911
Mailing address
105 Broadleaf Dr
Angier, NC 27501-7900
Phone (919) 606-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15771 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1912373044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BROADLEAF DR",
"city": "ANGIER",
"state": "NC",
"postal_code": "275017900",
"telephone_number": "919-606-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 NORTH BLVD",
"city": "CLINTON",
"state": "NC",
"postal_code": "283281911",
"telephone_number": "919-300-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTPHIN",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.