Active NPI
Patty Roughton Spear, PTA
- Physical Therapy Assistant
- Windsor, NC
National Provider Identifier
1336797604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1928
- Practice address
- 1306 S King St
Windsor, NC 27983-9663 - Phone
- (252) 794-5146
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 1928 | NC | Primary |
Addresses
Primary practice location
1306 S King St
Windsor, NC 27983-9663
Mailing address
1306 S King St
Windsor, NC 27983-9663
Phone (252) 794-5146
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1928 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1336797604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 S KING ST",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279839663",
"telephone_number": "252-794-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 S KING ST",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279839663",
"telephone_number": "252-794-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "PATTY",
"middle_name": "ROUGHTON",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, NC
- Solid Foundation Facilities, Inc
- Solid Foundation Facilities, Inc.
- Solutions for Personal Care Services, LLC
- Southern Home Health Care,Inc.
- Southern Touch Assisted Living
- Jasmyne Speller, M. ED.
- Kenyatta Speller
- SSC Windsor Brian Operating Company LLC (Brian Center Health & Rehabilitation - Windsor)
- Deborah W Stokely, FAMILY NURSE PRACTIT
- Kerry P Sullivan, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.