Active NPI
Child and Family Development
- Physical Therapy Clinic/Center
- Charlotte, NC
National Provider Identifier
1245779339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 16884
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryInteroperability endpoints
- 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
- Ndidi Cassie Chiedu, PHARMD
- Chief Cornerstone Consulting LLC
- Arlene Rose Chiemprabha, MD
- Happiness Chijiago Chinaenyewa Chijioke, FNP-BC
- Child and Family Counseling, PLLC
- Child and Family Development
- Child and Family Development Inc.
- Child and Family Development Inc.
- Child Speak, Too, Inc.
- Avri Childers, M.S., CCC-SLP
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.