Active NPI
Eva Marie Witham, PT DPT
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15567
- 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, 2015
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Winston Salem, NC
- NPI 1235175340
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
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.