Ellsworth Parham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2064 Ayrsley Town Blvd
Charlotte, NC 28273-4220

Phone

(980) 939-1580

Fax

(980) 939-1128

NPI assigned

Apr 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1154063139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 AYRSLEY TOWN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734220",
            "telephone_number": "980-939-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 AYRSLEY TOWN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734220",
            "telephone_number": "980-939-1580",
            "fax_number": "980-939-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "ELLSWORTH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Paredes, LCMHCA
• Anushka Parekh
• Rajul A Parekh, NP
• Nicole Parentela, DO
• Katie Elaine Parenti, LCSW
• Walter O'Brian Parham, PHARMD
• Polina A Paric, NP
• Aditya Parikh
• Amar Pradip Parikh, M.D.
• Anup H. Parikh, M.D.

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.