Organization Active NPI

Atlantic Coast Physical Therapy & Wellness Center, Inc

  • Physical Therapy Clinic/Center
  • Erwin, NC
National Provider Identifier
1417353913
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P6794 Issued in NC
Legal business name
ATLANTIC COAST PHYSICAL THERAPY & WELLNESS CENTER, INC
Practice address
108 E H St
Erwin, NC 28339-2144
Phone
(910) 729-9651
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mrs. Amy G Hartley
Title
Owner
Phone
(910) 729-9651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P6794 NC Primary

Addresses

Primary practice location

108 E H St
Erwin, NC 28339-2144

Mailing address

705 Old Post Rd
Erwin, NC 28339-2327
Phone (910) 729-9651

National Provider Directory

National Provider Directory

Locations

108 E H St
Erwin, NC 28339
Phone (910) 729-9651

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1417353913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 OLD POST RD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392327",
            "telephone_number": "910-729-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E H ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392144",
            "telephone_number": "910-729-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST PHYSICAL THERAPY & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-729-9651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P6794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.