Active NPI
Brian Patrick Messersmith, DPT
- Physical Therapist
- Elkin, NC
National Provider Identifier
1962932681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15425
- Practice address
- 560 Johnson Ridge Rd
Elkin, NC 28621-2420 - Phone
- (336) 835-7802
- NPI assigned
- Jun 14, 2017
- 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 | P15425 | NC | Primary |
Addresses
Primary practice location
560 Johnson Ridge Rd
Elkin, NC 28621-2420
Mailing address
1018 Martin St
Winston Salem, NC 27103-4429
Phone (440) 665-0280
Other practice location 1
190 Moravian Way Dr
Winston Salem, NC 27106-3216
Phone (336) 767-8130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P15425 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962932681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 MARTIN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034429",
"telephone_number": "440-665-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 JOHNSON RIDGE RD",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212420",
"telephone_number": "336-835-7802"
}
],
"practiceLocations": [
{
"address_1": "190 Moravian Way Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271063216",
"country_code": "US",
"telephone_number": "336-767-8130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESSERSMITH",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.