Active NPI
Stephanie Berg Harvell, PTA
- Physical Therapy Assistant
- Southern Pines, NC
National Provider Identifier
1184820227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2140
- Practice address
- 103 Gossman Rd
Southern Pines, NC 28387-2225 - Phone
- (910) 692-7293
- Fax
- (910) 692-7293
- NPI assigned
- Jun 25, 2007
- 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 Therapy Assistant | 225200000X | 2140 | NC | Primary |
Addresses
Primary practice location
103 Gossman Rd
Southern Pines, NC 28387-2225
Mailing address
PO Box 192
Mount Gilead, NC 27306-0192
Phone (910) 439-1758
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2140 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184820227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "273060192",
"telephone_number": "910-439-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GOSSMAN RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872225",
"telephone_number": "910-692-7293",
"fax_number": "910-692-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVELL",
"first_name": "STEPHANIE",
"middle_name": "BERG",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "2140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.