NPIMap

Organization Active NPI

Propel Pediatric Therapy

  • Physical Therapist
  • Kernersville, NC
National Provider Identifier
1023569464
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14225 Issued in NC
Legal business name
PROPEL PEDIATRIC THERAPY
Practice address
1130D Snow Bridge LN
Kernersville, NC 27284-8411
Phone
(336) 904-0467
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Lara RingNPI 1699899294
Title
Owner
Phone
(336) 404-1684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P14225 NC Primary

Addresses

Primary practice location

1130D Snow Bridge LN
Kernersville, NC 27284-8411

Mailing address

1130D Snow Bridge LN
Kernersville, NC 27284-8411

Other identifiers 1

IdentifierTypeStateIssuer
7212106MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Propel Pediatric Therapy2 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.

Locations

1130D Snow Bridge Ln
Kernersville, NC 27284
Phone (336) 904-0467

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1023569464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130D SNOW BRIDGE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130D SNOW BRIDGE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848411",
            "telephone_number": "336-904-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-404-1684"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.