Active NPI
Amy Purvis Reese, PTA
- Physical Therapy Assistant
- Rocky Mount, NC
National Provider Identifier
1508025008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2125
- Practice address
- 160 S Winstead Ave
Rocky Mount, NC 27804-3419 - Phone
- (252) 443-7667
- Fax
- (252) 451-8136
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2125 | NC | Primary |
Addresses
Primary practice location
160 S Winstead Ave
Rocky Mount, NC 27804-3419
Mailing address
13026 NC Highway 11 N
Bethel, NC 27812-9592
Phone (252) 443-7667
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2125 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1508025008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13026 NC HIGHWAY 11 N",
"city": "BETHEL",
"state": "NC",
"postal_code": "278129592",
"telephone_number": "252-443-7667",
"fax_number": "252-451-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043419",
"telephone_number": "252-443-7667",
"fax_number": "252-451-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "AMY",
"middle_name": "PURVIS",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "2125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.