Organization Active NPI

Pro Step Therapy Inc

Doing business as Pro Step Therapy

  • Physical Therapist
  • Richlands, NC
National Provider Identifier
1093960882
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7502 Issued in NC
Legal business name
PRO STEP THERAPY INC
Doing business as
Pro Step Therapy
Practice address
7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone
(910) 389-6749
Fax
(910) 324-4325
NPI assigned
Nov 21, 2008
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Olivia Ann TaylorNPI 1861550709
Title
Manager
Phone
(910) 389-6749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7502 NC Primary

Addresses

Primary practice location

7011 Gum Branch Rd
Richlands, NC 28574-8227

Mailing address

7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone (910) 389-6749

Other names 1

  • Pro Step Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112000859 NC Part B Supplier - Clinic/Group Practice 4688984115 Receives reassigned benefits from 3 practitioners
Practice locations: Richlands, NC

National Provider Directory

National Provider Directory

Locations

325 Sound Rd
Ste 300
Holly Ridge, NC 28445

325 Sound Rd
Ste 301
Holly Ridge, NC 28445

325 Sound Rd
Ste 303
Holly Ridge, NC 28445

410 New Bridge St
Ste 10A
Jacksonville, NC 28540
Phone (910) 347-2212

410 New Bridge St
Ste 7A
Jacksonville, NC 28540
Phone (910) 347-2212

7011 Gum Branch Rd
Richlands, NC 28574
Phone (910) 290-2170

8905 Richlands Hwy
Richlands, NC 28574
Phone (910) 430-2201

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1093960882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 GUM BRANCH RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748227",
            "telephone_number": "910-389-6749",
            "fax_number": "910-324-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 GUM BRANCH RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748227",
            "telephone_number": "910-389-6749",
            "fax_number": "910-324-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO STEP THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-389-6749"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Step Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richlands, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.