Active NPI
Southeastern Plastic Surgery PC
- Occupational Therapist
- Gastonia, NC
National Provider Identifier
1114996352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SOUTHEASTERN PLASTIC SURGERY PC
- Practice address
- 760 N New Hope Rd
Ste a
Gastonia, NC 28054 - Phone
- (704) 864-7574
- Fax
- (704) 866-8680
- NPI assigned
- Mar 17, 2006
- 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
- Mrs. Joy Hays, OTRL
- Title
- Otrl
- Phone
- (704) 864-7574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
760 N New Hope Rd
Ste a
Gastonia, NC 28054
Mailing address
649 N New Hope Rd
Gastonia, NC 28054
Phone (704) 866-4005
Other names 1
- Southeastern Hand Center & Occupational Therapy
National Provider Directory
National Provider DirectoryLocations
649 N New Hope Rd
Gastonia, NC 28054
Phone (704) 854-8887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114996352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 N NEW HOPE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-866-4005",
"fax_number": "704-866-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 N NEW HOPE RD",
"address_2": "STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-864-7574",
"fax_number": "704-866-8680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAYS",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "OTRL",
"authorized_official_telephone_number": "704-864-7574",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTRL"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeastern Hand Center & Occupational Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, 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.