Active NPI
Cameron Beau Dellinger, DPT
- Physical Therapist
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21482
- Practice address
- 214 18TH St SE
Hickory, NC 28602-1363 - Phone
- (828) 485-2160
- Fax
- (828) 485-3161
- NPI assigned
- Aug 16, 2022
- Last updated
- Jan 15, 2025
- 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 | P21482 | NC | Primary |
Addresses
Primary practice location
214 18TH St SE
Hickory, NC 28602-1363
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Phone (363) 765-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0397730038 | Other | NC | NSC# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Foundation Health Systems LLC | Physical Therapist | Past | Accepting new patients |
Locations
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
214 18th St SE
Hickory, NC 28602
Phone (828) 322-5172
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.
-
dba Novant Health Rehabilitation Center
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1932827003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791",
"telephone_number": "363-765-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 18TH ST SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021363",
"telephone_number": "828-485-2160",
"fax_number": "828-485-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLINGER",
"first_name": "CAMERON",
"middle_name": "BEAU",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-16",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC#",
"identifier": "0397730038",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.