Active NPI
Patrick Dameron, DPT
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1336575364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14389
- Practice address
- 936 Cox Rd
Gastonia, NC 28054-3456 - Phone
- (704) 823-1525
- Fax
- (704) 823-9850
- NPI assigned
- Sep 23, 2013
- Last updated
- Oct 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 14389 | NC | Primary |
Addresses
Primary practice location
936 Cox Rd
Gastonia, NC 28054-3456
Mailing address
PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064
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 |
|---|---|---|---|
| 14389 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center Two, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physical Therapy Center, LLC
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1861934010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1336575364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1844",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296331844",
"telephone_number": "864-482-0064",
"fax_number": "864-482-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543456",
"telephone_number": "704-823-1525",
"fax_number": "704-823-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-23",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.