Mountain Wellness and Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNTAIN WELLNESS AND PHYSICAL THERAPY, LLC

Practice address

110 4TH St
Black Mountain, NC 28711-3108

Phone

(828) 419-0556

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Walters, PTNPI 1225276926

Title

Owner

Phone

(828) 419-0556

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Walters

  • Physical Therapist
  • Black Mountain, NC
  • NPI 1225276926
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1194482646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "MONTREAT",
            "state": "NC",
            "postal_code": "287570291",
            "telephone_number": "828-280-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 4TH ST",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113108",
            "telephone_number": "828-419-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WELLNESS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-419-0556",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Moran, LCMHC
• Audrey Lynne Morris, M.ED., LCMHC
• Rocky Beauchane Morris, LPC, LCAS
• Motherwise PLLC
• Mountain Ridge Opco LLC
• Jonna Elizabeth Munroe, PHARMD
• Elisabeth Scott Murphy, GNP
• Amy Myers, DMD
• Pomaikaikealoha Nakoa
• Nana's Assisted Living Facility

• Physical Therapist in Black Mountain, NC
• Providers in Black Mountain, 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 Nov 19, 2021; 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.