Active NPI
Beulah Margaret Gracelyn Daniel Nirmal Singh
- Physical Therapist
- Henderson, NC
National Provider Identifier
1316438948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17242
- Practice address
- 2275 Ruin Creek Rd
Henderson, NC 27537 - Phone
- (252) 492-0066
- NPI assigned
- May 18, 2018
- Last updated
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17242 | NC | Primary |
Addresses
Primary practice location
2275 Ruin Creek Rd
Henderson, NC 27537
Mailing address
1522 Edenhurst Ave
Cary, NC 27513-8127
Phone (214) 983-1866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17242 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1316438948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 EDENHURST AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275138127",
"telephone_number": "214-983-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "27537",
"telephone_number": "252-492-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL NIRMAL SINGH",
"first_name": "BEULAH",
"middle_name": "MARGARET GRACELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "17242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.