Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Blake Madaris, PT, DPT

Individual provider Physical Therapist · NPI 1710863220

William Blake Madaris, PT, DPT is a Physical Therapist in Private Practice in Leland, North Carolina. Qualified in 2025, 1 year ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2024 Olde Regent Way Ste 130
Leland, NC 28451-4250
Phone: (910) 302-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24363 (NC)

Record details

NPI number1710863220
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Activcare Physical Therapy, Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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