Orthos Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1584/8138/9024 Issued in NC

Legal business name

ORTHOS PHYSICAL THERAPY INC.

Practice address

400 Guy Rd
Clayton, NC 27520-7205

Phone

(919) 553-8185

Fax

(919) 553-0187

NPI assigned

Oct 26, 2006

Last updated

Oct 23, 2025By 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

Mrs. Mary Worlds Broadwell, PTNPI 1336224690

Title

President

Phone

(919) 553-8185

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Mary Worlds Broadwell, PT

  • Physical Therapist
  • Clayton, NC
  • NPI 1336224690
  Medicare reassignment NPD Authorized official
• Jennifer Joann-Olson Williams, PT, DPT

  • Physical Therapist
  • Clayton, NC
  • NPI 1366520983
  Medicare reassignment NPD
• Lorraine Elizabeth Fazekas, LPTA

  • Physical Therapy Assistant
  • Clayton, NC
  • NPI 1871812669
  NPD (past)
• Thomas A Hendricks, PT

  • Orthopedic Physical Therapist
  • Smithfield, NC
  • NPI 1801090428
  NPD (past)
• Scott David Sedei, PT

  • Physical Therapist
  • Clayton, NC
  • NPI 1184794703
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1932284205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GUY RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207205",
            "telephone_number": "919-553-8185",
            "fax_number": "919-553-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GUY RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207205",
            "telephone_number": "919-553-8185",
            "fax_number": "919-553-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOS PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BROADWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "WORLDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-553-8185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "1584/8138/9024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "0197U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PROVIDE",
            "identifier": "CG8811",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210696/7200093",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chigozirim Okey Agoh, PA-C
• Lindsey Barrett Olive, PA-C
• Lindsay Olivera
• On Point Lab LLC (On Point Lab)
• One Heart Therapy PLLC
• Emily Ortman, MPH, RD, LD
• Jessica Christine Kuhn Owens, NP
• Michael Ray Owens, M.D.
• Gretchen N Paavola
• Caitlyn Jenkins Pabon, MS, NCC, LCMHC

• Physical Therapy Clinic/Center in Clayton, NC
• Providers in Clayton, 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 Oct 23, 2025; 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.