Individual provider Active NPI

Cecilia Pepera, PT

  • Physical Therapist
  • Black Mountain, NC
National Provider Identifier
1982606661
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P5968 Issued in NC
Practice address
113 Richardson Blvd
Black Mountain, NC 28711-3526
Phone
(828) 712-1340
Fax
(844) 262-1962
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P5968 NC Primary

Addresses

Primary practice location

113 Richardson Blvd
Black Mountain, NC 28711-3526

Mailing address

198 Cedar LN
Black Mountain, NC 28711-9602
Phone (828) 712-1340

Other practice location 1

997 Old Hwy 70 West
Black Mountain, NC 28711
Phone (828) 669-6896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000118 NC Practitioner - Physical Therapist in Private Practice 6204821309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HalfordGroup PAC ID 5698022994, 3 clinicians

Practice addresses (Care Compare)

113 Richardson Blvd
Black Mountain, NC 28711-3526
Phone (828) 712-1340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Halford Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Black Mountain Physical Therapy, LLC Physical Therapist CurrentSince Jan 23, 2019 Accepting new patients

Locations

997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896

113 Richardson Blvd
Black Mtn, NC 28711
Phone (828) 712-1340

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1982606661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CEDAR LN",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119602",
            "telephone_number": "828-712-1340",
            "fax_number": "844-262-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RICHARDSON BLVD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113526",
            "telephone_number": "828-712-1340",
            "fax_number": "844-262-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "997 Old Hwy 70 West",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "28711",
            "country_code": "US",
            "telephone_number": "828-669-6896",
            "fax_number": "828-669-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPERA",
        "first_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P5968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.