Organization Active NPI

Child and Family Development

  • Physical Therapy Clinic/Center
  • Charlotte, NC
National Provider Identifier
1245779339
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
16884 Issued in NC
Legal business name
CHILD AND FAMILY DEVELOPMENT
Practice address
4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone
(704) 332-4834
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Pam Jones, M.B.A.
Title
President
Phone
(704) 332-4834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 16884 NC Primary

Addresses

Primary practice location

4012 Park Rd Ste 200
Charlotte, NC 28209-2378

Mailing address

4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone (704) 332-4834

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10032145

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1245779339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-332-4834",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "16884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 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.

Verify at the official NPI Registry.