Active NPI
Christopher Ian Iffland, PTA
- Physical Therapy Assistant
- Oxford, NC
National Provider Identifier
1225523384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6594
- Practice address
- 500 Prospect Ave
Oxford, NC 27565-2543 - Phone
- (919) 692-1005
- NPI assigned
- Jun 29, 2018
- Sex
- Male
- 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 | 6594 | NC | Primary |
Addresses
Primary practice location
500 Prospect Ave
Oxford, NC 27565-2543
Mailing address
7400 Walnut Grove LN
Zebulon, NC 27597-8692
Phone (919) 614-3134
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 |
|---|---|---|---|
| 6594 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1225523384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 WALNUT GROVE LN",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275978692",
"telephone_number": "919-614-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PROSPECT AVE",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652543",
"telephone_number": "919-692-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFFLAND",
"first_name": "CHRISTOPHER",
"middle_name": "IAN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "6594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.