4D Coaching LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

4D COACHING LLC

Practice address

19924 Jetton Rd Ste 104
Cornelius, NC 28031-8253

Phone

(704) 997-8012

Fax

(704) 270-8219

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By 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

Michael Smith

Title

Owner

Phone

(321) 377-9606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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.

• Rebecca Mahon, DPT

  • Physical Therapist
  • Garner, NC
  • NPI 1255739132
  Medicare reassignment NPD
• Richard F Biggers, P.T.

  • Physical Therapist
  • Lake Wylie, SC
  • NPI 1114015914

  NC

  Medicare reassignment
• Jason Dean Creek, DPT

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1326389933

  NC

  Medicare reassignment

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1225866445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD STE 104",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318253",
            "telephone_number": "704-997-8012",
            "fax_number": "704-270-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD STE 104",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318253",
            "telephone_number": "704-997-8012",
            "fax_number": "704-270-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4D COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-377-9606"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bri-Anna Lachelle Adams

• Physical Therapist in Cornelius, NC
• Providers in Cornelius, 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 Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.