Organization Active NPI

Ptforher Pelvic Health & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
National Provider Identifier
1124609409
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PTFORHER PELVIC HEALTH & WELLNESS, LLC
Practice address
322 Lamar Ave Ste 214
Charlotte, NC 28204-2436
Phone
(803) 526-7876
NPI assigned
Apr 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Quana Tribble, DPTNPI 1033492731
Title
Owner
Phone
(803) 526-7876

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

322 Lamar Ave Ste 214
Charlotte, NC 28204-2436

Mailing address

322 Lamar Ave Ste 214
Charlotte, NC 28204-2436
Phone (803) 526-7876

National Provider Directory

National Provider Directory

Locations

322 Lamar Ave
Ste 214
Charlotte, NC 28204
Phone (803) 526-7876

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618704000000",
    "number": "1124609409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436",
            "telephone_number": "803-526-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436",
            "telephone_number": "803-526-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTFORHER PELVIC HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "QUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-526-7876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2021; 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.