Northeastern Carolina Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005 Issued in NC

Legal business name

NORTHEASTERN CAROLINA PHYSICAL THERAPY INC.

Practice address

114 Professional Dr
Roanoke Rapids, NC 27870-3221

Phone

(252) 535-4809

Fax

(252) 535-1040

NPI assigned

Nov 13, 2005

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arnold L Brown, PTNPI 1013094960

Title

Owner/President

Phone

(252) 535-4809

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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.

• Arnold L Brown, PT

  • Physical Therapist
  • Roanoke Rapids, NC
  • NPI 1013094960
  NPD Authorized official
• John Watson Jr., DPT

  • Physical Therapist
  • La Crosse, VA
  • NPI 1255563573
  NPD (past)

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

{
    "created_epoch": "1131840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1285615542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PROFESSIONAL DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703221",
            "telephone_number": "252-535-4809",
            "fax_number": "252-535-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PROFESSIONAL DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703221",
            "telephone_number": "252-535-4809",
            "fax_number": "252-535-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN CAROLINA PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-13",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "252-535-4809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Greta Nicholson, LPC
• Nicole St. Clair Services
• Virginia Lelle Niver, PA
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03387)
• North Carolina Orthotics & Prosthetics of Roanoke Rapids, Inc
• Northern Carolina Orthopaedics, PLLC
• Derlie Denise Norwood, FNP
• Kayla Zoe Odle, MD
• Moses Ohale
• Chinedu Christian Onuorah, M.D,

• Physical Therapist in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.