Individual provider Active NPI

Elizabeth Martin Harbison, P.T.

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1992947139
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2928 Issued in NC
Practice address
6626 Gordon Rd Ste H
Wilmington, NC 28411-8424
Phone
(910) 233-0726
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P2928 NC
Physical Therapist 225100000X 2928 NC Primary

Addresses

Primary practice location

6626 Gordon Rd Ste H
Wilmington, NC 28411-8424

Mailing address

203 Spicer Lake Dr
Holly Ridge, NC 28445-8902
Phone (910) 409-7954

Other practice location 1

530 Causeway Dr
Suite B-3
Wrightsville Beach, NC 28480-1959
Phone (910) 509-2810

Other identifiers 2

IdentifierTypeStateIssuer
1992947139OtherNCNATIONAL PROVIDER IDENTIFICATION
P2928OtherNCNORTH CAROLINA BOARD OF PHYSICAL THERAPY

Other names 1

  • Elizabeth Smelik Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL selfcaretherapy@gmail.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000689 NC Practitioner - Physical Therapist in Private Practice 6103975263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Therapy Franchising LLCGroup PAC ID 8527489582, 17 clinicians

Practice addresses (Care Compare)

530 Causeway Dr
Suite B6
Wrightsville Beach, NC 28480-1954
Phone (910) 509-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2928NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Therapy Franchising, LLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1992947139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SPICER LAKE DR",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284458902",
            "telephone_number": "910-409-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 GORDON RD STE H",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118424",
            "telephone_number": "910-233-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Causeway Dr",
            "address_2": "Suite B-3",
            "address_purpose": "LOCATION",
            "city": "Wrightsville Beach",
            "state": "NC",
            "postal_code": "284801959",
            "country_code": "US",
            "telephone_number": "910-509-2810",
            "fax_number": "910-256-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "ELIZABETH",
        "middle_name": "MARTIN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P2928",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1992947139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHYSICAL THERAPY",
            "identifier": "P2928",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "selfcaretherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business gmail account",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6626 Gordon Rd Ste H",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284118424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMELIK",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.