Gridiron247

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GRIDIRON247

Practice address

210 W Martin L. King Blvd
Roseboro, NC 28382-9066

Phone

(910) 525-3088

NPI assigned

Dec 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerris McPhail

Title

Manager

Phone

(910) 525-3088

Specialties & licenses 1

Addresses

Tax ID family

Gridiron 24-72 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gridiron 24-7

  • Physical Therapist
  • Clinton, NC
  • NPI 1548690779
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1003204934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MARTIN LUTHER KING BLVD",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283829066",
            "telephone_number": "910-525-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MARTIN L. KING BLVD",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283829066",
            "telephone_number": "910-525-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDIRON247",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MCPHAIL",
        "authorized_official_first_name": "JERRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-525-3088"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinda Carraway, CNM
• La'Kesia April-Samoan Chance, CNA
• Coastal Carolina ABA, LLC
• Sydney Evans
• Laura Owen Gray, MSN CNM RN
• Health Care Connections
• Haley Elizabeth Holland
• Hope in the Carolina
• Hope in the Carolina, L.L.C.
• Howerton Family Medicine, PA

• All providers in Roseboro, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.