Physical Therapy Services of Wilmington at Porter'S Neck, LLC
NPI 1619480811 · Physical Therapist · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physical Therapy Services of Wilmington at Porter'S Neck, LLC is a Physical Therapist organization in Wilmington, NC (NPI 1619480811).
Provider details
- NPI number
- 1619480811
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Russell Simmerman, Part Owner(910) 297-9714
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2017-11-09
Frequently asked questions
- What is Physical Therapy Services of Wilmington at Porter'S Neck, LLC's NPI number?
- Physical Therapy Services of Wilmington at Porter'S Neck, LLC's National Provider Identifier (NPI) is 1619480811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physical Therapy Services of Wilmington at Porter'S Neck, LLC?
- Physical Therapy Services of Wilmington at Porter'S Neck, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Physical Therapy Services of Wilmington at Porter'S Neck, LLC located?
- Physical Therapy Services of Wilmington at Porter'S Neck, LLC's practice location on file with NPPES is 167 Porters Neck Road, Suite D, Wilmington, NC 28411.
- What is Physical Therapy Services of Wilmington at Porter'S Neck, LLC's phone number?
- The practice phone number listed in the NPPES registry for Physical Therapy Services of Wilmington at Porter'S Neck, LLC is (910) 297-9714.
- Does Physical Therapy Services of Wilmington at Porter'S Neck, LLC accept Medicare?
- Physical Therapy Services of Wilmington at Porter'S Neck, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Physical Therapy Services of Wilmington at Porter'S Neck, LLC?
- The authorized official listed on Physical Therapy Services of Wilmington at Porter'S Neck, LLC's NPPES record is Russell Simmerman, Part Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physical Therapy Services of Wilmington at Porter'S Neck, LLC's NPI active?
- Yes — Physical Therapy Services of Wilmington at Porter'S Neck, LLC's NPI (1619480811) is active in the NPPES registry as of the last update on 2017-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.