Organization Active NPI

My Time to Shine Hippotherapy

  • Rehabilitation Clinic/Center
  • Morganton, NC
National Provider Identifier
1245483924
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
5638 Issued in NC
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Angela Ann Smith, OTR/LNPI 1477686723
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7302004MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.