X-Tra Performance & Physical Therapy Company

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1877 Issued in NC

Legal business name

X-TRA PERFORMANCE & PHYSICAL THERAPY COMPANY

Practice address

1504 Kentucky St
Salisbury, NC 28144-6500

Phone

(704) 762-0340

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Joel BurgessNPI 1598070815

Title

Owner

Phone

(704) 762-0340

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Matthew Burgess, PTA

  • Physical Therapy Assistant
  • Salisbury, NC
  • NPI 1598070815
  NPD (past) Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1538468665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENTRY MEMORIAL HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406940",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 KENTUCKY ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446500",
            "telephone_number": "704-762-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-TRA PERFORMANCE & PHYSICAL THERAPY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-762-0340"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rufus Thomas Wyatt Jr., LPC
• Tina Wyatt, LPC,
• Stephanie Clara Wyman, RD, LDN
• Jason Chad Wyrick, PHARM D
• X-Ray4U, P.a.
• Lena Xhelili
• PA Xiong
• Bobi Yang, OD
• Seng Yang
• Steve Woo-Suk Yang, D.D.S.

• Physical Therapy Clinic/Center in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.