NPIMap

Organization Active NPI

Pediatric Partners of NC, Inc

  • Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1396073250
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0538 Issued in NC
Legal business name
PEDIATRIC PARTNERS OF NC, INC
Practice address
325 Alexander St
Fayetteville, NC 28301-5752
Phone
(910) 920-3838
Fax
(910) 920-1068
NPI assigned
Dec 3, 2009
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Mrs. Lisa S Whittenton, OTR/L
Title
President
Phone
(910) 920-3838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3830 NC
Occupational Therapist 225X00000X 0538 NC Primary

Addresses

Primary practice location

325 Alexander St
Fayetteville, NC 28301-5752

Mailing address

325 Alexander St
Fayetteville, NC 28301-5752
Phone (910) 920-3838

National Provider Directory

National Provider Directory

Locations

325 Alexander St
Fayetteville, NC 28301
Phone (910) 920-1068

Practitioners & affiliated clinicians

Practitioners 7

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1396073250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ALEXANDER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015752",
            "telephone_number": "910-920-3838",
            "fax_number": "910-920-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ALEXANDER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015752",
            "telephone_number": "910-920-3838",
            "fax_number": "910-920-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF NC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "WHITTENTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-920-3838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3830",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "0538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.