Active NPI
Curtis Elliott Sr., LPTA
- Physical Therapy Assistant
- Fayetteville, NC
National Provider Identifier
1235324229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1912
- Practice address
- 4101 Raeford Rd
Fayetteville, NC 28304-4114 - Phone
- (910) 908-2222
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | A1912 | NC | Primary |
Addresses
Primary practice location
4101 Raeford Rd
Fayetteville, NC 28304-4114
Mailing address
FRC 4101 Raeford Rd Unit 100B
Fayetteville, NC 28304
Phone (910) 570-3295
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 |
|---|---|---|---|
| A1912 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1235324229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FRC 4101 RAEFORD RD UNIT 100B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "910-570-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044114",
"telephone_number": "910-908-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CURTIS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2020-09-21",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A1912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.