Active NPI
Leatha Garrison
- Orthotic Fitter
- Laurinburg, NC
National Provider Identifier
1063783447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CFTS1314
- Practice address
- 801 S Main St
Laurinburg, NC 28352-4724 - Phone
- (910) 276-7210
- Fax
- (910) 277-0480
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFTS1314 | NC | Primary |
Addresses
Primary practice location
801 S Main St
Laurinburg, NC 28352-4724
Mailing address
801 S Main St
Laurinburg, NC 28352-4724
Phone (910) 276-7210
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
| License | State | Type | Specialty |
|---|---|---|---|
| CFTS1314 | NC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1063783447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S MAIN ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283524724",
"telephone_number": "910-276-7210",
"fax_number": "910-277-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S MAIN ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283524724",
"telephone_number": "910-276-7210",
"fax_number": "910-277-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "LEATHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFTS1314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.