Frank J Irvin Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

889 Issued in NC

Practice address

1103 N Church St
Greensboro, NC 27401-1008

Phone

(336) 275-2285

Fax

(336) 275-2286

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jim Irvin Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1083795017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HENRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053669",
            "telephone_number": "336-375-4263",
            "fax_number": "336-375-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011008",
            "telephone_number": "336-275-2285",
            "fax_number": "336-275-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PHYSICAL THERAPY",
            "identifier": "250413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "IRVIN",
            "suffix": "JR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Cragin Ireton, PA-C
• Iris Autism & Developmental Services LLC
• Kimberly Irla
• Naga Venkata Kalipraveena Iruku, M.D.
• Alan Watson Irvin, D.D.S.
• Teresa Oliver Irvin
• Irving a. Lugo, M.D., P.a.
• Sarah E Irving, M.D.
• John Wilson Irwin, MS, CCC-SLP
• Andrea Lynn Isaak, WHNP

• Physical Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.