Active NPI
Roxanne King
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1003012584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2540
- Practice address
- 1700 Pamalee Drive
Fayetteville, NC 28303-0887 - Phone
- (910) 488-2295
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2540 | NC | Primary |
Addresses
Primary practice location
1700 Pamalee Drive
Fayetteville, NC 28303-0887
Mailing address
616 Jennings Farm Road
Fayetteville, NC 28314
Phone (910) 864-7019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2540 | NC | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003012584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 JENNINGS FARM ROAD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28314",
"telephone_number": "910-864-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PAMALEE DRIVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030887",
"telephone_number": "910-488-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ROXANNE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.