Active NPI
Sandra Lorraine Scalese, PTA
- Physical Therapy Assistant
- Statesville, NC
National Provider Identifier
1235663162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3122
- Practice address
- 520 Valley Street
Brian Center Health and Rehabilitation
Statesville, NC 28677 - Phone
- (704) 873-0517
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- 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 | A3122 | NC | Primary |
Addresses
Primary practice location
520 Valley Street
Brian Center Health and Rehabilitation
Statesville, NC 28677
Mailing address
520 Valley Street
Brian Center Health and Rehabilitation
Statesville, NC 28677
Phone (704) 873-0517
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 |
|---|---|---|---|
| A3122 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1235663162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 VALLEY STREET",
"address_2": "BRIAN CENTER HEALTH AND REHABILITATION",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "28677",
"telephone_number": "704-873-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 VALLEY STREET",
"address_2": "BRIAN CENTER HEALTH AND REHABILITATION",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "28677",
"telephone_number": "704-873-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALESE",
"first_name": "SANDRA",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A3122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.