Active NPI
Peggy Steele Womble, PTA
- Physical Therapy Assistant
- Sanford, NC
National Provider Identifier
1003092230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 608
- Practice address
- 84 Westbrooke Dr
Sanford, NC 27330-2468 - Phone
- (919) 776-0745
- NPI assigned
- Jan 17, 2008
- 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 Therapy Assistant | 225200000X | 608 | NC | Primary |
Addresses
Primary practice location
84 Westbrooke Dr
Sanford, NC 27330-2468
Mailing address
84 Westbrooke Dr
Sanford, NC 27330-2468
Phone (919) 776-0745
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 |
|---|---|---|---|
| 608 | NC | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1003092230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 WESTBROOKE DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273302468",
"telephone_number": "919-776-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 WESTBROOKE DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273302468",
"telephone_number": "919-776-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMBLE",
"first_name": "PEGGY",
"middle_name": "STEELE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.