Individual provider Active NPI

Eva Marie Witham, PT DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1932587268
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15567 Issued in NC
Practice address
2828 Maplewood Ave
Suite a
Winston Salem, NC 27103-4138
Phone
(336) 765-4703
Fax
(336) 765-1396
NPI assigned
May 6, 2015
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 P15567 NC Primary

Addresses

Primary practice location

2828 Maplewood Ave
Suite a
Winston Salem, NC 27103-4138

Mailing address

1910 N Church St
Suite D
Greensboro, NC 27405-5666
Phone (336) 274-7480

Other names 1

  • Eva Marie Platt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001884 NC Practitioner - Physical Therapist in Private Practice 4284945957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

1591 Yanceyville St
Suite 400
Greensboro, NC 27405-6945
Phone (336) 274-7480

303 N 35TH St
Morehead City, NC 28557-3105
Phone (252) 247-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince May 6, 2015 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Austin-Caputo Physical Therapy Services, Inc. Physical Therapist Past Accepting new patients

Locations

3814 Rural Retreat Rd
Ste 103
Burlington, NC 27215
Phone (743) 241-3020

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

1591 Yanceyville St
Ste 400
Greensboro, NC 27405
Phone (336) 274-7480

1910 N Church St
Ste D
Greensboro, NC 27405
Phone (336) 274-7480

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

2828 Maplewood Ave
#A
Winston Salem, NC 27103
Phone (336) 765-4703

Organizations & group practices 3

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1932587268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055666",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAPLEWOOD AVE",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-765-4703",
            "fax_number": "336-765-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "PLATT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.