NPIMap

Individual provider Active NPI

Erin Nicole Nolan, PT DPT

  • Pediatric Physical Therapist
  • New Bern, NC
National Provider Identifier
1497891642
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P13552 Issued in NC
Practice address
2842 Neuse Blvd
New Bern, NC 28562-2839
Phone
(252) 514-4770
Fax
(252) 514-4773
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT 22765 FL
Pediatric Physical Therapist 2251P0200X 5853 OR
Pediatric Physical Therapist 2251P0200X P13552 NC Primary

Addresses

Primary practice location

2842 Neuse Blvd
New Bern, NC 28562-2839

Mailing address

120 Rough Leaf TRL
Hampstead, NC 28443-7251
Phone (267) 777-8188

Other names 1

  • Erin Nicole Croy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 22765FLMDPediatric Physical Therapist
P13552NCMDPediatric Physical Therapist
5853ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NC DHHS Child and Family Well-Being Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1497891642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROUGH LEAF TRL",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437251",
            "telephone_number": "267-777-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622839",
            "telephone_number": "252-514-4770",
            "fax_number": "252-514-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT 22765",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "5853",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P13552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CROY",
            "middle_name": "NICOLE",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.