Active NPI
Atlantic Coast Physical Therapy & Wellness Center, Inc
- Physical Therapy Clinic/Center
- Erwin, NC
National Provider Identifier
1417353913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- P6794
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.