Ted Kupsick
Individual provider Active NPI Physical Therapy Assistant · Biscoe, NC
NPI 1487168779 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1487168779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5124 (NC)
- Practice address
- 401 Lambert Rd
Biscoe, NC 27209-9002 - Phone
- (910) 428-2117
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5124 | NC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5124 | NC | Yes |
Addresses
Primary practice location
401 Lambert Rd
Biscoe, NC 27209-9002
Mailing address
1637 Trotters Ridge Rd
Stanfield, NC 28163-9310
Phone (704) 244-1490
Other providers in Biscoe, NC
- Cara Saunders Haywood
- Charles Ingram
- Catherine Kennedy
- Kerr Drug Inc
- Joseph Korzelius
- Angela Cheri Kyker
- Lane and Associates IX DDS PA
- Alicia Noelle Lee
- Theresa Cranford Lee
- David Arthur Levenite
All providers in Biscoe, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.