Organization Active NPI

Specialized Physical and Occupational Therapy

  • Physical Therapist
  • Columbus, NC
National Provider Identifier
1396420915
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPECIALIZED PHYSICAL AND OCCUPATIONAL THERAPY
Practice address
155 W Mills St Ste 104
Columbus, NC 28722-9426
Phone
(828) 817-3224
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Authorized official

Name
Karol Spraggs-YoungNPI 1710235155
Title
Owner
Phone
(828) 817-3224

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 Primary

Addresses

Primary practice location

155 W Mills St Ste 104
Columbus, NC 28722-9426

Mailing address

PO Box 688
Saluda, NC 28773-0688
Phone (828) 817-3224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727003183 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749641462 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, NC

National Provider Directory

National Provider Directory

Locations

155 W Mills St
Ste 104
Columbus, NC 28722
Phone (828) 817-3224

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1396420915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "SALUDA",
            "state": "NC",
            "postal_code": "287730688",
            "telephone_number": "828-817-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MILLS ST STE 104",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287229426",
            "telephone_number": "828-817-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL AND OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "SPRAGGS-YOUNG",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-817-3224"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.