Pediatric Therapyworks, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7742 Issued in NC

Legal business name

PEDIATRIC THERAPYWORKS, INC

Practice address

3504 Grandview Club Rd
Pfafftown, NC 27040-9704

Phone

(336) 407-9753

Fax

(336) 923-4399

NPI assigned

May 1, 2011

Last updated

May 1, 2011By 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

Eileen Coleman, MPTNPI 1609001544

Title

President

Phone

(336) 407-9753

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.

• Eileen Coleman, MPT

  • Pediatric Physical Therapist
  • Pfafftown, NC
  • NPI 1609001544
  NPD (past) Authorized official

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304208000000",
    "number": "1467743005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 GRANDVIEW CLUB RD",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270409704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 GRANDVIEW CLUB RD",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270409704",
            "telephone_number": "336-407-9753",
            "fax_number": "336-923-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPYWORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-01",
        "last_updated": "2011-05-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-407-9753",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "7742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Ebed Korang, MD
• Lifeforce Home Health Solutions, LLC (LifeForce HHS)
• Christine Denise Love Sterk, PHD, HSP-P
• Nisyja Cares LLP
• Ortho Spine and Pain Physical Therapy
• Melanie Piper, DPT
• Najaila Polite
• Megan Rose
• Jared Ruddy
• Lorie Wagner Shelton, BA, MA

• Physical Therapy Clinic/Center in Pfafftown, NC
• Providers in Pfafftown, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2011; 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.