Antley Pediatric Therapy, Corp.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5341 Issued in NC

Legal business name

ANTLEY PEDIATRIC THERAPY, CORP.

Practice address

7275 Woodcock TRL
Stanley, NC 28164-7705

Phone

(704) 236-3895

Fax

(318) 345-6997

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Sherri B Antley, OTR

Title

President

Phone

(704) 236-3895

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1053478461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 WOODCOCK TRL",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281647705",
            "telephone_number": "704-236-3895",
            "fax_number": "318-345-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 WOODCOCK TRL",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281647705",
            "telephone_number": "704-236-3895",
            "fax_number": "318-345-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTLEY PEDIATRIC THERAPY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ANTLEY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-236-3895",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "5341",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F Allen Jr.
• Kameron Anderson
• Megan Berry
• Kurt F Beyer, CPO
• Deanna Bizzaro, LCSW-A
• Fatima A Brens, MD
• Kyle Daniel Brown, PA-C

• Pediatric Occupational Therapist in Stanley, NC
• Providers in Stanley, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.