Individual provider Active NPI

Dennis John Redmond, PT, DPT

  • Physical Therapist
  • Knightdale, NC
National Provider Identifier
1962034256
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19336 Issued in NC
Practice address
6905 Knightdale Blvd Ste 102
Knightdale, NC 27545-6506
Phone
(919) 373-8086
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLC 868 clinicians

Practice addresses (Care Compare)

10010 Falls of Neuse Rd
Raleigh, NC 27614-8494
Phone (919) 766-8989

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200415001258 NC Practitioner - Physical Therapist in Private Practice 6507296522 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Oak City Physical Therapy LLC Physical Therapist Current Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2020 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Jun 15, 2021 Accepting new patients
Wakemed Specialists Group LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients

Locations

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

6905 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 350-5755

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

6837 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 606-1033

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: dennis.redmond.p12@direct.athleticoltd.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19336 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

6905 Knightdale Blvd Ste 102
Knightdale, NC 27545-6506

Mailing address

6546 English Oaks Dr
Raleigh, NC 27615-6326
Phone (919) 457-6333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2020.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1962034256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 ENGLISH OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156326",
            "telephone_number": "919-457-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 KNIGHTDALE BLVD STE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456506",
            "telephone_number": "919-373-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.