Small Steps Pediatric Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P2348 Issued in NC

Legal business name

SMALL STEPS PEDIATRIC THERAPY, LLC

Practice address

405 Hawks Nest TRL
Purlear, NC 28665-9354

Phone

(336) 909-5884

Fax

(336) 667-0707

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Gena Whittington, PTNPI 1316262900

Title

Owner/Manager

Phone

(336) 909-5884

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gena Church Whittington, P.T.

  • Specialist
  • Purlear, NC
  • NPI 1316262900
  NPD (past) Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1417387705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HAWKS NEST TRL",
            "city": "PURLEAR",
            "state": "NC",
            "postal_code": "286659354",
            "telephone_number": "336-909-5884",
            "fax_number": "336-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HAWKS NEST TRL",
            "city": "PURLEAR",
            "state": "NC",
            "postal_code": "286659354",
            "telephone_number": "336-909-5884",
            "fax_number": "336-667-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL STEPS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "336-909-5884",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Dutro Allen
• Emily Ann Dyer
• Rebecca B Mayes, NBCC, LPC
• Gena Church Whittington, P.T.

• Physical Therapist in Purlear, NC
• Providers in Purlear, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.