John Elkins
Individual provider Active NPI Physical Therapy Assistant · Tobaccoville, NC
NPI 1053705996 · NPPES record last updated Mar 27, 2015
Key facts
- NPI
- 1053705996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A4402 (NC)
- Practice address
- 4041 Reid Rd
Tobaccoville, NC 27050-9527 - Phone
- (336) 486-5292
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4402 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A4402 | NC | Yes |
Addresses
Primary practice location
4041 Reid Rd
Tobaccoville, NC 27050-9527
Mailing address
4041 Reid Rd
Tobaccoville, NC 27050-9527
Other providers in Tobaccoville, NC
- Pattie Burns Amundsen
- Jon Eric Clenney
- Embrace Renewal Primary Health and Wellness, PLLC
- Hope4Tomorrowllc
- Stepehn Adrian Hubbard
- Individual
- MH Medical Services, PC
All providers in Tobaccoville, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.