Organization Active NPI

Therapy Plus Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Forest City, NC
National Provider Identifier
1144309949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8208 Issued in NC
Legal business name
THERAPY PLUS CLINIC, INC.
Practice address
247 Oak St. Ext.
Suite 145
Forest City, NC 28043-4909
Phone
(828) 245-5003
Fax
(828) 245-5798
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Michael Brandon Waters, LPTNPI 1912948084
Title
Physical Therapist
Phone
(828) 245-5003

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 8208 NC Primary

Addresses

Primary practice location

247 Oak St. Ext.
Suite 145
Forest City, NC 28043-4909

Mailing address

247 Oak Street Extension
Suite 145
Forest City, NC 28043-4909
Phone (828) 245-5003

Other identifiers 1

IdentifierTypeStateIssuer
017PXOtherNCBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000435 NC Part B Supplier - Clinic/Group Practice 0345260634 Receives reassigned benefits from 3 practitioners
Practice locations: Forest City, NC

National Provider Directory

National Provider Directory

Locations

247 Oak Street Ext
Ste 145
Forest City, NC 28043
Phone (828) 245-5003

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144309949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 OAK STREET EXTENSION",
            "address_2": "SUITE 145",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434909",
            "telephone_number": "828-245-5003",
            "fax_number": "828-245-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 OAK ST. EXT.",
            "address_2": "SUITE 145",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280434909",
            "telephone_number": "828-245-5003",
            "fax_number": "828-245-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY PLUS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "828-245-5003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "8208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "017PX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.