NPIMap

Organization Active NPI

Phytcare LLC

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1245476159
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYTCARE LLC
Practice address
3210 Prosperity Church Rd
Suite 102
Charlotte, NC 28269-8193
Phone
(704) 971-8800
Fax
(704) 971-8817
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Laruel Stoimenoff
Title
President
Phone
(480) 924-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3210 Prosperity Church Rd
Suite 102
Charlotte, NC 28269-8193

Mailing address

PO Box 41007
Fayetteville, NC 28309-1007
Phone (800) 849-5609

Other names 1

  • NextCare Inc Sole MBR Other name

National Provider Directory

National Provider Directory
Tax ID family
Nextcare Inc Sole MBR11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3210 Prosperity Church Rd
Ste 102
Charlotte, NC 28269
Phone (704) 971-8800

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1245476159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41007",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283091007",
            "telephone_number": "800-849-5609",
            "fax_number": "910-868-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 PROSPERITY CHURCH RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698193",
            "telephone_number": "704-971-8800",
            "fax_number": "704-971-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "STOIMENOFF",
        "authorized_official_first_name": "LARUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-924-8382"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextCare Inc Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.