Piedmont Physical Therapy Specialist LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P10927 Issued in NC

Legal business name

PIEDMONT PHYSICAL THERAPY SPECIALIST LLC

Practice address

530 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone

(910) 483-9300

Fax

(910) 483-9302

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey W Hathaway, PT

Title

Owner/Physical Therapist

Phone

(607) 227-6366

Specialties & licenses 1

Addresses

Other names 1

• BreakThrough Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1023268745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903717",
            "telephone_number": "315-451-6541",
            "fax_number": "315-451-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-9300",
            "fax_number": "910-483-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHYSICAL THERAPY SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-227-6366",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BreakThrough Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chaz Pichette
• Shannel Pickens, MS, CCC-SLP
• Kai M Pickett
• Rowland Narond Pickett, MPT
• Picture Perfect Esthetics LLC
• Ashley Pierce, MA, LPA, HSP-PA
• Hayley Pierce
• Kelli Pierce
• Laurann Brown Pierce, SLP
• Lynette Maxwell Pierce, DDS

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.