Physical Therapy at Goldsboro Spine Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY AT GOLDSBORO SPINE CENTER, LLC

Practice address

605 N Spence Ave
Goldsboro, NC 27534

Phone

(919) 751-0555

Fax

(919) 751-3001

NPI assigned

Dec 14, 2016

Last updated

Sep 2, 2021By 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

Caroline Joy Yumul Co, PTNPI 1134197320

Title

Sole Member

Phone

(516) 547-7790

Specialties & licenses 2

Addresses

Other names 1

• Alien Gear Real Estate, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

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.

• Caroline Joy Yumul Co

  • Physical Therapist
  • Goldsboro, NC
  • NPI 1134197320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1487198107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-751-0555",
            "fax_number": "919-751-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SPENCE AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-751-0555",
            "fax_number": "919-751-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AT GOLDSBORO SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "CAROLINE JOY",
        "authorized_official_middle_name": "YUMUL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "516-547-7790",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alien Gear Real Estate, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura Maureen Pezzuto, MD
• Ariana Phelps
• Gary Joe Phillips, RPH
• Pam B Phillips, WHNP
• Sadora Phillips
• Physicians Theracare, Inc.
• Tara Nichole Piech, MD
• Hallie Frances Piehler, M.S. CCC-SLP
• Emilee Quinn Pilkington, DDS
• Teresa Lynn Pilkington, OTR/L

• Physical Therapy Clinic/Center in Goldsboro, NC
• Providers in Goldsboro, 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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.