Individual provider Active NPI

Julie R Agan, PHYSICAL THERAPIST

  • Physical Therapist
  • Rocky Mount, NC
National Provider Identifier
1437483294
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2747 Issued in NC
Practice address
3403 Carriage Farm Rd
Rocky Mount, NC 27804-8326
Phone
(252) 937-0177
NPI assigned
Sep 28, 2009
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2747 NC Primary

Addresses

Primary practice location

3403 Carriage Farm Rd
Rocky Mount, NC 27804-8326

Mailing address

3403 Carriage Farm Rd
Rocky Mount, NC 27804-8326
Phone (252) 937-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1437483294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 CARRIAGE FARM RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048326",
            "telephone_number": "252-937-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 CARRIAGE FARM RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048326",
            "telephone_number": "252-937-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAN",
        "first_name": "JULIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.