Organization Active NPI

Theraccess

  • Physical Therapy Clinic/Center
  • Apex, NC
National Provider Identifier
1518226448
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
89 Issued in NC
Legal business name
THERACCESS
Practice address
1101 Pemberton Hill Rd
Suite 102
Apex, NC 27502-3957
Phone
(919) 421-4263
NPI assigned
May 12, 2012
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mr. Chetan Deshmukh, MBA, OTR/L, CPC,
Title
Ceo
Phone
(919) 421-4263

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 89 NC Primary
Rehabilitation Clinic/Center 261QR0400X 89 NC
Occupational Therapist 225X00000X 6766 NC

Addresses

Primary practice location

1101 Pemberton Hill Rd
Suite 102
Apex, NC 27502-3957

Mailing address

1101 Pemberton Hill Rd
Suite 102
Apex, NC 27502-3957
Phone (919) 421-4263

Other names 1

  • VASTACCESS, INC. Other name

National Provider Directory

National Provider Directory

Locations

1031 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 208-4785

1101 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 421-4263

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1518226448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-421-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-421-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-12",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-421-4263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, OTR/L, CPC,"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "89",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "89",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VASTACCESS, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.