Individual provider Active NPI

Edward Nelson Sartin, PTA

  • Physical Therapy Assistant
  • Durham, NC
National Provider Identifier
1154684793
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A4526 Issued in NC
Practice address
2059 Torredge Rd
Durham, NC 27712-1767
Phone
(919) 477-4474
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4526 NC Primary

Addresses

Primary practice location

2059 Torredge Rd
Durham, NC 27712-1767

Mailing address

2525 Booker Creek Rd
B17
Chapel Hill, NC 27514-5100
Phone (919) 561-0949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A4526NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1154684793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BOOKER CREEK RD",
            "address_2": "B17",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145100",
            "telephone_number": "919-561-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 TORREDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121767",
            "telephone_number": "919-477-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "EDWARD",
        "middle_name": "NELSON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.