Organization Active NPI

Ideas Invested, L.L.C.

  • Physical Therapist
  • Burgaw, NC
National Provider Identifier
1528290194
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10066 Issued in NC
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

Updated by the provider on Mar 2, 2010

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.