Active NPI
The Pediatric Group
- Physical Therapist
- Blowing Rock, NC
National Provider Identifier
1114041043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1251
- Legal business name
- THE PEDIATRIC GROUP
- Practice address
- 867 Ski Acres Dr
Blowing Rock, NC 28605-9237 - Phone
- (828) 443-0163
- Fax
- (828) 264-2550
- NPI assigned
- Mar 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Perkins, PT, MS, PCS
- Title
- Owner
- Phone
- (828) 443-0163
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1251 | NC | Primary |
Addresses
Primary practice location
867 Ski Acres Dr
Blowing Rock, NC 28605-9237
Mailing address
PO Box 3323
Morganton, NC 28680-3323
Phone (828) 443-0163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0788W | Other | NC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Physical Therapist
- Morganton, NC
- NPI 1194043257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114041043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3323",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286803323",
"telephone_number": "828-443-0163",
"fax_number": "828-264-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 SKI ACRES DR",
"city": "BLOWING ROCK",
"state": "NC",
"postal_code": "286059237",
"telephone_number": "828-443-0163",
"fax_number": "828-264-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PEDIATRIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-443-0163",
"authorized_official_credential": "PT, MS, PCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "1251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0788W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blowing Rock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.