Organization Active NPI

Discover Therapy LLC

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1265739239
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9546 Issued in NC
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

Updated by the provider on Oct 28, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X P9546 NC Primary
Physical Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.