Active NPI
Theraccess
- Physical Therapy Clinic/Center
- Apex, NC
National Provider Identifier
1518226448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 89
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.