Provisions Pediatric Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2908 Issued in NC

Legal business name

PROVISIONS PEDIATRIC THERAPY, LLC

Practice address

1456 Carolina Dr
Sanford, NC 27332-7341

Phone

(919) 353-4499

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Patterson Brown, B.S., PTNPI 1528074598

Title

Physical Therapist

Phone

(919) 353-4499

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Rachel Brown, B.S., PT

  • Physical Therapist
  • Sanford, NC
  • NPI 1528074598
  NPD (past) Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1104013721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273310639",
            "telephone_number": "919-353-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 CAROLINA DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273327341",
            "telephone_number": "919-353-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-353-4499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S., PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Senitra Pryor, LPCA
• Melania Puff
• William Henry Purvis, MD
• Lakeesha Puryear, DNP,MSN, APRN,AGPCNP
• Quality Home Healthcare Inc

• Physical Therapy Clinic/Center in Sanford, NC
• Providers in Sanford, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.