NPIMap

Organization Active NPI

Wayne Cannon PT and Associates

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1316968563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WAYNE CANNON PT AND ASSOCIATES
Practice address
760 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone
(336) 659-8634
Fax
(336) 659-8636
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katie Burley Browning, ATCNPI 1699798710
Title
Office Manager
Phone
(336) 659-8634

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NC Primary

Addresses

Primary practice location

760 Highland Oaks Dr
Winston Salem, NC 27103-7105

Mailing address

760 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 659-8634

Other identifiers 3

IdentifierTypeStateIssuer
21531OtherNCMEDCOST
07965OtherNCBCBSNC
4136091OtherNCAETNA

National Provider Directory

National Provider Directory

Locations

760 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 659-8634

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316968563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HIGHLAND OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037105",
            "telephone_number": "336-659-8634",
            "fax_number": "336-659-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HIGHLAND OAKS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037105",
            "telephone_number": "336-659-8634",
            "fax_number": "336-659-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE CANNON PT AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "BURLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-659-8634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "21531",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "07965",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4136091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.