Active NPI
Elizabeth Martin Harbison, P.T.
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992947139 | Other | NC | NATIONAL PROVIDER IDENTIFICATION |
| P2928 | Other | NC | NORTH CAROLINA BOARD OF PHYSICAL THERAPY |
Other names 1
- Elizabeth Smelik
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P2928 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Therapy Franchising, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Wrightsville Beach, NC
- NPI 1922639939
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.