NPIMap

Organization Active NPI

Protherapy Concepts, Inc.

  • Physical Therapy Clinic/Center
  • Eden, NC
National Provider Identifier
1285788729
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
9973 Issued in NC
Legal business name
PROTHERAPY CONCEPTS, INC.
Practice address
723 S Van Buren Rd Ste C
Eden, NC 27288-5321
Phone
(336) 627-7398
NPI assigned
Jan 22, 2007
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Deborah DabbsNPI 1013083559
Title
Physical Therapist - President
Phone
(336) 627-7398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 9973 NC Primary

Addresses

Primary practice location

723 S Van Buren Rd Ste C
Eden, NC 27288-5321

Mailing address

723 S Van Buren Rd Ste C
Eden, NC 27288-5321
Phone (336) 627-7398

Other practice location 1

405 Boone Rd
Eden, NC 27288-4967
Phone (336) 627-7398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000680 NC Part B Supplier - Clinic/Group Practice 6800983867 Receives reassigned benefits from 3 practitioners
Practice locations: Eden, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1285788729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S VAN BUREN RD STE C",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S VAN BUREN RD STE C",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272884967",
            "country_code": "US",
            "telephone_number": "336-627-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROTHERAPY CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - PRESIDENT",
        "authorized_official_telephone_number": "336-627-7398"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.