Organization Active NPI

Southeastern Plastic Surgery PC

  • Occupational Therapist
  • Gastonia, NC
National Provider Identifier
1114996352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.