Active NPI
Manual Therapy Associates LLC
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1124072384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MANUAL THERAPY ASSOCIATES LLC
- Practice address
- 10009 Park Cedar Dr
Suite 100
Charlotte, NC 28210-8920 - Phone
- (704) 716-1024
- Fax
- (704) 716-1025
- NPI assigned
- May 20, 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. Amy M Holcombe, PT
- Title
- Owner
- Phone
- (704) 716-1024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10009 Park Cedar Dr
Suite 100
Charlotte, NC 28210-8920
Mailing address
10009 Park Cedar Dr
Suite 100
Charlotte, NC 28210-8920
Phone (704) 716-1024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211761 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2219 Tyvola Rd
Charlotte, NC 28210
Phone (704) 716-1024
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Physical Therapist
- Charlotte, NC
- NPI 1689055147
-
- Physical Therapist
- Charlotte, NC
- NPI 1144820655
-
- Orthopedic Physical Therapist
- Greenville, SC
- NPI 1366497042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378252800000",
"number": "1124072384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 PARK CEDAR DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108920",
"telephone_number": "704-716-1024",
"fax_number": "704-716-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 PARK CEDAR DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108920",
"telephone_number": "704-716-1024",
"fax_number": "704-716-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL THERAPY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2013-09-04",
"status": "A",
"authorized_official_last_name": "HOLCOMBE",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-716-1024",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211761",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.