Yancey Center for Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4787 Issued in NC

Legal business name

YANCEY CENTER FOR PHYSICAL THERAPY INC

Practice address

1720 W US Highway 19E
Burnsville, NC 28714-8602

Phone

(828) 682-1500

Fax

(828) 682-1505

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Raymond Medina, P.T.NPI 1770577397

Title

Director of Physical Therapy

Phone

(828) 682-1500

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• John Raymond Medina, P.T.

  • Physical Therapist
  • Burnsville, NC
  • NPI 1770577397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1497749352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W US HIGHWAY 19E",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287148602",
            "telephone_number": "828-682-1500",
            "fax_number": "828-682-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W US HIGHWAY 19E",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287148602",
            "telephone_number": "828-682-1500",
            "fax_number": "828-682-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY CENTER FOR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "828-682-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58457",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "350866700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-00006",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "65002114",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A4150",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210872",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Whitfield, BSN, MSN, FNP-BC
• Priscilla Jones Whitson, PTA
• Marcia Winters, ARNP
• Tiffany Woody, FNP-C
• WP-Burnsville Health Holdings, LLC
• Yancey Co Health Department
• Yancey Co. DSS
• Yancey Community Medical Services, Inc.
• Yancey Community Medical Services, Inc.
• Yancey County Committee on Aging, Inc.

• Physical Therapy Clinic/Center in Burnsville, NC
• Providers in Burnsville, 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 Apr 5, 2011; 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.