Active NPI
Ideas Invested, L.L.C.
- Physical Therapist
- Burgaw, NC
National Provider Identifier
1528290194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10066
- Legal business name
- IDEAS INVESTED, L.L.C.
- Practice address
- 211 W Williams St
Burgaw, NC 28425-5331 - Phone
- (910) 789-9568
- NPI assigned
- Aug 17, 2009
- 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
- Dr. Talisa R Bannerman-Lee, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (910) 789-9568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10066 | NC | Primary |
Addresses
Primary practice location
211 W Williams St
Burgaw, NC 28425-5331
Mailing address
211 W Williams St
Burgaw, NC 28425-5331
Phone (910) 789-9568
Other names 1
- True Abilities Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1528290194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W WILLIAMS ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255331",
"telephone_number": "910-789-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W WILLIAMS ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255331",
"telephone_number": "910-789-9568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAS INVESTED, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-17",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "BANNERMAN-LEE",
"authorized_official_first_name": "TALISA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "910-789-9568",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "10066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "True Abilities Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burgaw, NC
- Chloe Leanne Hill, LCSWA, LCASA
- Allison Elizabeth Hine
- Emily Victoria Hopper, OTR/L
- Humble Beginnings FCH
- Huntington Health Care and Retirement Center Inc
- Interim Healthcare of the Eastern Carolinas, Inc
- Sara Lynn Jablonski, LPCA
- Charlotte Richardson Johnson, COTA/L
- Katie Louise Johnson, COTA/L
- Andrew Thomas Justice, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.