Organization
PORT CITY PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ROYCE JARBOE PT (PRESIDENT/CEO)
(910) 763-7674
Entity
Organization
Contact information
Practice address
321 N FRONT ST, WILMINGTON, NC 28401-3908
(910) 763-7674
(910) 763-8533
Mailing address
321 N FRONT ST, WILMINGTON, NC 28401-3908
(910) 763-7674
(910) 763-8533
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1796
NC
225100000X
Physical Therapist
2549
NC
2251X0800X
Orthopedic Physical Therapist
Primary
2549
NC
225700000X
Massage Therapist
173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173
NC MASSAGE THERAPIST LIC#
NC
01
—
1821190075
INDIVIDUAL NPI NUMBER
NC
01
—
2549
NC PT LICENSE NUMBER
NC
05
—
7200115
—
NC
05
—
7210534
—
NC
Enumeration date
10/11/2006
Last updated
09/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us