Darren Eugene Pride, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602552 Issued in VA

Practice address

801 Cox Rd
Gastonia, NC 28054-3453

Phone

(704) 867-7455

NPI assigned

Oct 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1104078856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 COLONY OAKS DR APT 522",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773005",
            "telephone_number": "410-963-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-867-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "DARREN",
        "middle_name": "EUGENE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Price, DPT
• Michael Allen Price
• Sydney Harper Price, LCSWA
• Tonja Lynn Price, LPC
• Christina Sharita Pride, MSW, LCSWA
• Primary Health Concepts (Home Health Professionals)
• Primary Health Concepts (Home Heatlh Professionals)
• Primary Health Concepts, Inc. (Home Health Professionals)
• Prime Generation
• Mary Rebekah Prins, LCSWA

• Physical Therapy Assistant in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.