Wilson Physical Therapy Services, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1080 Issued in NC

Legal business name

WILSON PHYSICAL THERAPY SERVICES, INC.

Practice address

806 W Ehringhaus St
Elizabeth City, NC 27909-6935

Phone

(252) 338-4099

Fax

(252) 338-4096

NPI assigned

Nov 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roscoe Waylon Joyner, PTNPI 1386602688

Title

President

Phone

(252) 338-4099

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roscoe Waylon Joyner III, LPT

  • Physical Therapist
  • Elizabeth City, NC
  • NPI 1386602688
  NPD (past) Authorized official
• Audrey Maurise Joy, PT

  • Physical Therapist
  • Elizabeth City, NC
  • NPI 1679916746
  NPD (past)

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195689600000",
    "number": "1215118948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PELICAN POINTE DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097764",
            "telephone_number": "252-338-4099",
            "fax_number": "252-338-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W EHRINGHAUS ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096935",
            "telephone_number": "252-338-4099",
            "fax_number": "252-338-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-22",
        "last_updated": "2007-11-22",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "ROSCOE",
        "authorized_official_middle_name": "WAYLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-338-4099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Davis Williams, M.S.N., C.N.M.
• Aysa Williams
• Bela Jordyn Williams
• D'Londa Marie Williams, LCSWA
• Kendall Williams, RBT
• Brittani Wilson, RBT
• Holly Wilson, NCC, LPC
• Wilkiam Wilson
• Leigh Winslow, RBT
• Laura Marie Winters, MS, OTR/L

• Physical Therapy Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.