| Hillary Wagstaff Thomas, PT, DPT | |
|
1821 Martin Luther King Pkwy, Durham, NC 27707-6336 | |
| (919) 748-4980 | |
| (919) 816-2012 |
| Full Name | Hillary Wagstaff Thomas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1821 Martin Luther King Pkwy, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699414797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P14445 (North Carolina) | Primary |
| 225100000X | Physical Therapist | 2305208378 (Virginia) | Secondary |
| Provider Name | Breakthrough Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Hillary Wagstaff Thomas, PT, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (502) 882-9379 | Hillary Wagstaff Thomas, PT, DPT 1821 Martin Luther King Pkwy, Durham, NC 27707-6336 Ph: (919) 748-4980 |
Charlotte Hunter Pearce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Pickett Road, The Forest At Duke Retirement Community, Durham, NC 27705 Phone: 919-452-6100 | |
Ms. Robin Nicole Conradi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276 | |
Amy Katherine Tally, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Michelle Baumgart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5705 Fayetteville Rd, Durham, NC 27713 Phone: 919-666-2624 | |
Kelly Mcnaughton Raney, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 E Carver St, Durham, NC 27704 Phone: 919-471-2273 | |
Mrs. Claudia Jakiel Leasure, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2609 N Duke St Ste 203, Durham, NC 27704 Phone: 919-220-6532 | |
Steven Fairbanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 |