Active NPI
Maria Elizabeth Pruitt, PT
- Physical Therapist
- Mount Airy, NC
National Provider Identifier
1093917692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11023
- Practice address
- 414 W Lebanon St
Mount Airy, NC 27030-2954 - Phone
- (336) 789-9041
- Fax
- (336) 789-9042
- NPI assigned
- Jun 5, 2007
- Last updated
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11023 | NC | Primary |
Addresses
Primary practice location
414 W Lebanon St
Mount Airy, NC 27030-2954
Mailing address
PO Box 667744
Charlotte, NC 28266-7744
Phone (704) 860-0569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11023 | Other | NC | PHYSICAL THERAPIST |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Mechaniques Inc. | Past | Accepting new patients | |
| Tri-County Orthopedic & Sports Medicine, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1366490187
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Elkin, NC
- NPI 1760441711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1093917692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667744",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282667744",
"telephone_number": "704-860-0569",
"fax_number": "704-392-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W LEBANON ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302954",
"telephone_number": "336-789-9041",
"fax_number": "336-789-9042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "MARIA",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "11023",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.