Andrew Phillips

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20827 Issued in NC

Practice address

1175 Turlington Ave Unit 103
Leland, NC 28451-6068

Phone

(910) 408-1778

Fax

(910) 408-1759

NPI assigned

Aug 13, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1942975651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 OLD MACCUMBER STATION RD APT 325",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058531",
            "telephone_number": "631-413-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 TURLINGTON AVE UNIT 103",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516068",
            "telephone_number": "910-408-1778",
            "fax_number": "910-408-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Be Still Home Care LLC
• Amanda Perez, FNP-C
• Amber Perry
• Hannah Grace Perryman, PT, DPT
• Shannon Bardin Phelps, F.N.P.
• Physical Therapy Fit for Life Inc
• Danielle Rae Pierce, PHARMD
• John Gregory Player, MD
• Kristin Jean Pleasant, FNP-C
• Joanna Kaitlin Plymon

• Physical Therapist in Leland, NC
• Providers in Leland, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.