DOUGLAS ALAN HINES JR. PT
NPI 1851066237
Physical Therapist in Matthews, NC

Active since August 09, 2021Accepts Medicare Assignment
83/100
CMS Quality Rating
11010 MONROE RD, MATTHEWS, NC 28105(704) 246-6989 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2024, Nov 8, 2024, Aug 17, 2021 and 1 more (4 updates tracked since 2021).

About Douglas Alan Hines Jr. Pt NPPES

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

DOUGLAS ALAN HINES JR. PT (NPI 1851066237) is an individual physical therapist in Matthews, North Carolina, licensed in North Carolina (P23738) and active in the NPI registry since August 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1851066237
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDOUGLAS ALAN HINES JR.Credential: PT
Location Address11010 MONROE RDMatthews, NC 28105-8517
Mailing Address8918 Blakeney Professional Dr Ste 120Charlotte, NC 28277-6692 · (704) 900-8960 · Fax (704) 817-9523
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 9, 2021
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1851066237 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 · P23738 Licensed in VA · 2305214586 Licensed in NC · CP024194T
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.
11010 MONROE RD, Matthews, NC 28105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas Alan Hines Jr. Pt 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 ID6800293994
PECOS Enrollment IDI20230915003284

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
470 services38 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
457 services37 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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
11010 MONROE RD
MATTHEWS, NC 28105
Physical Therapist (Orthopedic)
11010 MONROE RD
MATTHEWS, NC 28105

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 Douglas Hines's NPI number?

The NPI number for Douglas Hines is 1851066237. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Douglas Hines located?

Douglas Hines practices at 11010 Monroe Rd, Matthews, NC 28105. The listed phone number is (704) 246-6989.

What is Douglas Hines's specialty?

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

Is Douglas Hines enrolled in Medicare?

Yes. Douglas Hines 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.

What insurance does Douglas Hines accept?

Health plans from Blue Cross and Blue Shield of NC list Douglas Hines 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 Douglas Hines was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.