Organization Active NPI

Tallulah Health Center, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Robbinsville, NC
National Provider Identifier
1417011891
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5761 Issued in NC
Legal business name
TALLULAH HEALTH CENTER, P.A.
Practice address
120 Old Highway 129
Robbinsville, NC 28771-6800
Phone
(828) 479-8320
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Shaun Conroy, P.T.
Title
Physical Therapist
Phone
(828) 479-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 5761 NC Primary

Addresses

Primary practice location

120 Old Highway 129
Robbinsville, NC 28771-6800

Mailing address

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-8320

Other identifiers 1

IdentifierTypeStateIssuer
016UPOtherNCBCBSNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1417011891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-8320",
            "fax_number": "828-479-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD HIGHWAY 129",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287716800",
            "telephone_number": "828-479-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLULAH HEALTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "828-479-8320",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "5761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "016UP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

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