Wanda Keefe Terrell, PTA LMBT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2228 Issued in NC

Practice address

2716 Ashton Drive
Wilmington, NC 28412-2489

Phone

(910) 352-5459

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Wanda Marie Terrell Other name

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457366163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DOCK STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-352-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 ASHTON DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122489",
            "telephone_number": "910-352-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "WANDA",
        "middle_name": "KEEFE",
        "name_prefix": "Ms.",
        "credential": "PTA LMBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "TERRELL",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PTA LMBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paulita Teperson
• Melissa Joan Terchek, MD
• Serenity Lea Terpenning, COTA
• Jennifer Marie Terrana, DNP CRNA
• Nicole Lauren Terrell, PA-C
• Brittany Terrones, LCAS-A
• Briana Nicole Terry, MSN, WHNP-BC
• Chessie Terry
• Christian Renard Terry, PHD
• Christina Marie Terry, PT

• Physical Therapy Assistant in Wilmington, NC
• Providers in Wilmington, 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 Jul 8, 2007; 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.