Doreen McGauvran, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6422 Issued in NC

Practice address

4610 Holly Tree Rd
Wilmington, NC 28409-8556

Phone

(910) 218-9561

NPI assigned

Nov 25, 2019

Sex

Female

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1104462183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SAND DOLLAR LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284616101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 HOLLY TREE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098556",
            "telephone_number": "910-218-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUVRAN",
        "first_name": "DOREEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan McFadden, DO
• Morgan Ruth McFadden, MD
• Ryan Michael Claude McFall, LCSW
• Heather Jean McFarland, PMHNP-BC
• Michael S McGarrity, M.D.
• Jennifer G McGee
• Mark Edward McGee, DDS
• Vivica U McGee
• Mary McGhan, RN, MSN
• Joeann McGhee, LCAS-A

• Physical Therapy Assistant in Wilmington, NC
• Providers in Wilmington, 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 Nov 25, 2019; 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.