Main Street Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P8568 Issued in NC

Legal business name

MAIN STREET PHYSICAL THERAPY INC

Practice address

1001 N Main St
Salisbury, NC 28144-3611

Phone

(704) 633-5156

Fax

(704) 637-3955

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew S Jeter, DCNPI 1881686947

Title

Owner

Phone

(704) 633-5156

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew S. Jeter, DC

  • Chiropractor
  • Salisbury, NC
  • NPI 1881686947
  Authorized official Same address or phone

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1528465358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443611",
            "telephone_number": "704-633-5156",
            "fax_number": "704-637-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281443611",
            "telephone_number": "704-633-5156",
            "fax_number": "704-637-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-633-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher John Magryta, M.D.
• Nicole Magryta, RD
• Diana Mah, O.D.
• Caitlyn Ann Mahoney, LCSWA
• Lubabatu Inuwa Maimai
• Alexandra Elizabeth Malissen, PA-C
• Eric John Mallico, MD
• James A Mallinson Jr., MA
• Sean I Malone, M.D.
• Sean Robert Maloney, M.D.

• Physical Therapist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.