Active NPI
Wanda Storch, PT
- Physical Therapist
- Stella, NC
National Provider Identifier
1184021909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P2836
- Practice address
- 138 Longwood Dr
Stella, NC 28582-9671 - Phone
- (910) 687-4676
- NPI assigned
- Nov 21, 2014
- Last updated
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P2836 | NC | Primary |
Addresses
Primary practice location
138 Longwood Dr
Stella, NC 28582-9671
Mailing address
138 Longwood Dr
Stella, NC 28582-9671
Phone (910) 687-4676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2836 | Other | NC | PT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2836 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1184021909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 LONGWOOD DR",
"city": "STELLA",
"state": "NC",
"postal_code": "285829671",
"telephone_number": "910-687-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 LONGWOOD DR",
"city": "STELLA",
"state": "NC",
"postal_code": "285829671",
"telephone_number": "910-687-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCH",
"first_name": "WANDA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P2836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "P2836",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stella, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.