Active NPI
My Time to Shine Hippotherapy
- Rehabilitation Clinic/Center
- Morganton, NC
National Provider Identifier
1245483924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 5638
- Legal business name
- MY TIME TO SHINE HIPPOTHERAPY
- Practice address
- 4071 Oak Hollow Dr
Morganton, NC 28655-4782 - Phone
- (828) 448-1561
- Fax
- (828) 437-8348
- NPI assigned
- Oct 28, 2008
- Last updated
- Feb 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Ann Smith, OTR/L
- Title
- Occupational Therapist
- Phone
- (828) 448-1561
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 5638 | NC | Primary |
Addresses
Primary practice location
4071 Oak Hollow Dr
Morganton, NC 28655-4782
Mailing address
4071 Oak Hollow Dr
Morganton, NC 28655-4782
Phone (828) 448-1561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302004 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Lenoir, NC
- NPI 1477686723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424390400000",
"number": "1245483924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4071 OAK HOLLOW DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554782",
"telephone_number": "828-448-1561",
"fax_number": "828-437-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4071 OAK HOLLOW DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554782",
"telephone_number": "828-448-1561",
"fax_number": "828-437-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY TIME TO SHINE HIPPOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2015-02-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "828-448-1561",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NC",
"license": "5638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302004",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.