Active NPI
Cleveland Physical Therapy Assoc II
- Physical Therapy Assistant
- Shelby, NC
National Provider Identifier
1114908290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9863
- Legal business name
- CLEVELAND PHYSICAL THERAPY ASSOC II
- Practice address
- 335B W College Ave
Shelby, NC 28152-8111 - Phone
- (704) 434-8175
- Fax
- (704) 434-8176
- NPI assigned
- Nov 7, 2005
- 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
- Mr. James E Crowell
- Title
- Director of Administration
- Phone
- (704) 471-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 9863 | NC | Primary |
Addresses
Primary practice location
335B W College Ave
Shelby, NC 28152-8111
Mailing address
1129 E Marion St
Shelby, NC 28150-4843
Phone (704) 471-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211706 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
335B W College Ave
Shelby, NC 28152
Phone (704) 434-8175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114908290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 E MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504843",
"telephone_number": "704-471-0001",
"fax_number": "704-471-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335B W COLLEGE AVE",
"city": "SHELBY",
"state": "NC",
"postal_code": "281528111",
"telephone_number": "704-434-8175",
"fax_number": "704-434-8176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND PHYSICAL THERAPY ASSOC II",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROWELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
"authorized_official_telephone_number": "704-471-0001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "9863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211706",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Cleveland Home Health Agency
- Cleveland Intervention and Support Services, Inc
- Cleveland Medical Associates, PA Dba Piedmont Family Care
- Cleveland Neurologic Clinic, PA
- Cleveland of County
- Cleveland Physical Therapy Associates Inc
- Cleveland Psychosocial Service, Inc.
- Cleveland Psychosocial Services, Inc
- Cleveland Psychosocial Services, Inc
- Cleveland Regional Medical Center
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.