Lester Roscoe Minish Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5136 Issued in NC

Practice address

617 Laurel Lake Dr
Columbus, NC 28722-7401

Phone

(828) 894-3000

NPI assigned

Sep 16, 2013

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1447686035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 STACY HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525750",
            "telephone_number": "828-808-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 LAUREL LAKE DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227401",
            "telephone_number": "828-894-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINISH",
        "first_name": "LESTER",
        "middle_name": "ROSCOE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Columbus, NC
• Providers in Columbus, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.