Phoenix Therapy Services, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHOENIX THERAPY SERVICES, PLLC

Practice address

3213 Stump Lake Dr
Monroe, NC 28110-8798

Phone

(704) 282-0818

Fax

(704) 635-8353

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Catherine Fink, OTR/L

Title

Owner/Occupational Therapist

Phone

(704) 282-0818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1164769451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3032",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281113032",
            "telephone_number": "704-282-0818",
            "fax_number": "704-635-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 STUMP LAKE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108798",
            "telephone_number": "704-282-0818",
            "fax_number": "704-635-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-282-0818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Monroe, NC
• Providers in Monroe, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.