Active NPI
Brandon Frederick Tabbutt, DPT
- Physical Therapist
- Cary, NC
National Provider Identifier
1972932663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14435
- Practice address
- 3100 NC 55 Hwy
Suite 101
Cary, NC 27519-8426 - Phone
- (919) 290-2799
- Fax
- (919) 290-2532
- NPI assigned
- Nov 4, 2013
- 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 | 14435 | NC | Primary |
Addresses
Primary practice location
3100 NC 55 Hwy
Suite 101
Cary, NC 27519-8426
Mailing address
1613 Walnut St
Cary, NC 27511-5928
Phone (919) 535-8758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150227001310 | NC | Practitioner - Physical Therapist in Private Practice | 3173849692 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14435 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care First Physical Therapy & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921
Organizations & group practices 1
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.
-
- Occupational Therapist
- Cary, NC
- NPI 1932366044
NC, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1972932663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 WALNUT ST",
"city": "CARY",
"state": "NC",
"postal_code": "275115928",
"telephone_number": "919-535-8758",
"fax_number": "919-535-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NC 55 HWY",
"address_2": "SUITE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275198426",
"telephone_number": "919-290-2799",
"fax_number": "919-290-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBUTT",
"first_name": "BRANDON",
"middle_name": "FREDERICK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.