Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES PRATSON DPT
NPI 1730456690
Physical Therapist in Black Mountain, NC

Active since November 21, 2011Accepts Medicare Assignment
109 WNC SHOPPING CTR, BLACK MOUNTAIN, NC 28711(828) 357-9050(828) 357-9051 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Sep 17, 2025, Apr 4, 2025 and 1 more (4 updates tracked since 2025).

About James Pratson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES PRATSON DPT (NPI 1730456690) is an individual physical therapist in Black Mountain, North Carolina, licensed in North Carolina (CP043040T) and active in the NPI registry since November 2011. He maintains 8 additional practice locations and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730456690
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAMES PRATSONCredential: DPT
Location Address109 WNC SHOPPING CTRBlack Mountain, NC 28711-2532
Mailing Address19 Westridge Market PlCandler, NC 28715-9174 · (828) 633-6287 · Fax (828) 633-8288
Fax(828) 357-9051
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 21, 2011
Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1730456690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in NC · CP043040T✔ Licensed in VT · 040.0118245✔ Licensed in NC · P24754
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
109 WNC SHOPPING CTR, Black Mountain, NC 28711

Secondary Practice Locations 8

Location 11870 Brevard Rd Ste 115Arden, NC 28704-9647 · Phone (828) 203-2603 · Fax (828) 203-2814
Location 268 Crossroad Hill RdCanton, NC 28716-3703 · Phone (828) 492-1480 · Fax (828) 492-1481
Location 333 Valley View TerWaynesville, NC 28786-4548 · Phone (828) 246-6566 · Fax (828) 246-6567
Location 459 Weaver Village WayWeaverville, NC 28787-9492 · Phone (828) 484-9415 · Fax (828) 484-9478
Location 580 Charlotte St Ste 50Asheville, NC 28801-2434 · Phone (828) 785-1412 · Fax (828) 785-1413
Location 619 Westridge Market PlCandler, NC 28715-9174 · Phone (828) 633-6287 · Fax (828) 633-6288
Location 7328 New Leicester Hwy Ste 150Asheville, NC 28806-2018 · Phone (828) 412-5120 · Fax (828) 412-5159
Location 81356 Charlotte HwyFairview, NC 28730-8798 · Phone (828) 338-0707 · Fax (828) 338-0708

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Pratson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436318045
PECOS Enrollment IDI20250331003353

Medicare Billing Reassignments

2

Medicare enrollment records show James Pratson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1256 HENDERSONVILLE RD
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 34 clinicians in this Medicare group
Physical Therapist
600 JULIAN LN, SUITE 660
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
109 WNC SHOPPING CTR
BLACK MOUNTAIN, NC 28711
Physical Therapist
109 WNC SHOPPING CTR
BLACK MOUNTAIN, NC 28711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Pratson's NPI number?

The NPI number for James Pratson is 1730456690. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is James Pratson located?

James Pratson practices at 109 WNC Shopping Ctr, Black Mountain, NC 28711. The listed phone number is (828) 357-9050.

What is James Pratson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is James Pratson enrolled in Medicare?

Yes. James Pratson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Pratson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pratson reassigns Medicare benefits to 2 organizations: Southeastern Physical Therapy, LLC (Asheville, NC) and Cornerstone Physical Therapy, Inc (Arden, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Pratson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pratson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list James Pratson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Pratson was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.