PTC Wellness Centers PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PTC WELLNESS CENTERS PC

Practice address

2832 Candlers MTN Rd
Lynchburg, VA 24502

Phone

(434) 455-1550

Fax

(434) 455-1556

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Matthew Tatom, D.O

Title

President

Phone

(434) 455-1550

Specialties & licenses 1

Addresses

Tax ID family

PTC Wellness Centers PC2 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.

• PTC Wellness Centers BWXT

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1477048973
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PTC Wellness Centers BWXT

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1477048973
  NPPES parent name

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1023503521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 CANDLERS MTN RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-455-1550",
            "fax_number": "434-455-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 CANDLERS MTN RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-455-1550",
            "fax_number": "434-455-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTC WELLNESS CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "TATOM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-455-1550",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosperity House of Lynchburg, Inc.
• Prosthetic Concepts LLC
• Rachel Hayley Pruitt, MPAS, PA-C
• Timothy Alan Pryor
• PTC Wellness Centers BWXT
• Maureen Minter Puckett, NNP
• Nona Morrison Puckett, MED RN LPC
• Kirby Purcell, LPC, CSAC
• David Puskas, DPT
• Kathleen Forst Putnam, WHNP

• Family Medicine Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.