NPIMap

Organization Active NPI

William Pickens Sorrels Jr

  • Physical Therapist
  • Goldsboro, NC
National Provider Identifier
1477503548
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2351 Issued in NC
Legal business name
WILLIAM PICKENS SORRELS JR
Practice address
1913 N Berkeley Blvd
Ste. 4
Goldsboro, NC 27534-8230
Phone
(919) 778-3898
Fax
(919) 778-3896
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
William P, SorrelsNPI 1710938824
Title
Owner
Phone
(919) 778-3898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2351 NC Primary

Addresses

Primary practice location

1913 N Berkeley Blvd
Ste. 4
Goldsboro, NC 27534-8230

Mailing address

1913 N Berkeley Blvd
Ste. 4
Goldsboro, NC 27534-8230
Phone (919) 778-3898

Other identifiers 2

IdentifierTypeStateIssuer
078MCOtherNCBCBS
7211802MedicaidNC

Other names 1

  • Therapy Works LLC Other name

National Provider Directory

National Provider Directory

Locations

1913 N Berkeley Blvd
Ste 4
Goldsboro, NC 27534
Phone (919) 778-3898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1477503548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 N BERKELEY BLVD",
            "address_2": "STE. 4",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348230",
            "telephone_number": "919-778-3898",
            "fax_number": "919-778-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 N BERKELEY BLVD",
            "address_2": "STE. 4",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348230",
            "telephone_number": "919-778-3898",
            "fax_number": "919-778-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PICKENS SORRELS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "SORRELS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P,",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-778-3898"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078MC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211802",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Works LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.