Jaime Hankins
Individual provider Active NPI Physical Therapist · Holly Springs, NC
NPI 1992275663 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1992275663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P18409 (NC)
- Practice address
- 112 Grand Hill PL
Holly Springs, NC 27540-4416 - Phone
- (919) 346-5815
- Fax
- (919) 346-5816
- NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Practice addresses (Care Compare)
1901 Nwcary Pkwy
Suite 110
Morrisville, NC 27560
Phone (919) 678-1525
3702 Hillsborough Rd
Suite 2B
Durham, NC 27705-2953
Phone (919) 646-6577
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190122003130 | NC | Practitioner - Physical Therapist in Private Practice | 8325385842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18409 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
115 Kildaire Park Dr
Ste 202
Cary, NC 27518
Phone (919) 233-9557
112 Grand Hill Pl
Holly Springs, NC 27540
Phone (919) 346-5815
1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525
800 Crescent Centre Dr
Ste 300
Franklin, TN 37067
800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18409 | NC | Yes |
Addresses
Primary practice location
112 Grand Hill PL
Holly Springs, NC 27540-4416
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other providers in Holly Springs, NC
- Joyce Portal Guanga
- Tiffany Guy
- Shiann Hagan
- Elaine Hagwood
- Nicole S Hammonds
- Caryn Hansen
- Kaitlin Hanson
- Melissa D Hanson
- Harris Teeter LLC
- Harris Teeter, LLC
All providers in Holly Springs, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.