Active NPI
Discover Therapy LLC
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1265739239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P9546
- Legal business name
- DISCOVER THERAPY LLC
- Practice address
- 6536 Burnside PL
Fayetteville, NC 28311-2907 - Phone
- (910) 583-9471
- Fax
- (910) 487-3541
- NPI assigned
- Feb 27, 2011
- 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
- Mica Mitchell, PT
- Title
- President
- Phone
- (910) 583-9471
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P9546 | NC | Primary |
| Physical Therapy Assistant | 225200000X | A773 | NC |
Addresses
Primary practice location
6536 Burnside PL
Fayetteville, NC 28311-2907
Mailing address
PO Box 1507
Fayetteville, NC 28302-1507
Phone (910) 583-9471
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382918400000",
"number": "1265739239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1507",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283021507",
"telephone_number": "910-583-9471",
"fax_number": "910-487-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6536 BURNSIDE PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283112907",
"telephone_number": "910-583-9471",
"fax_number": "910-487-3541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVER THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-27",
"last_updated": "2013-10-28",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "MICA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-583-9471",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "P9546",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.