Individual provider Active NPI

Ronald Paul Infantino

  • Physical Therapy Assistant
  • Murphy, NC
National Provider Identifier
1053935403
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A5675 Issued in NC
Practice address
2810 W US Highway 64 Ste 1
Murphy, NC 28906-4061
Phone
(828) 837-0400
Fax
(828) 837-0404
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5675 NC Primary

Addresses

Primary practice location

2810 W US Highway 64 Ste 1
Murphy, NC 28906-4061

Mailing address

2810 W US Highway 64 Ste 1
Murphy, NC 28906-4061
Phone (828) 837-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amy.Brendle@direct.promotionrehab.nchie.net Pro Motion Rehab, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A5675NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Motion Rehab, Inc. CurrentSince Jun 7, 2020 Accepting new patients

Locations

2810 W US Highway 64
Ste 1
Murphy, NC 28906
Phone (828) 837-0400

Interoperability endpoints

  • Direct secure messaging: amy.brendle@direct.promotionrehab.nchie.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053935403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W US HIGHWAY 64 STE 1",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289064061",
            "telephone_number": "828-837-0400",
            "fax_number": "828-837-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W US HIGHWAY 64 STE 1",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289064061",
            "telephone_number": "828-837-0400",
            "fax_number": "828-837-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTINO",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.Brendle@direct.promotionrehab.nchie.net",
            "affiliation": "Y",
            "affiliationName": "Pro Motion Rehab, Inc.",
            "address_1": "2810 W US Highway 64 Ste 1",
            "city": "Murphy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "289064061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.