Miranda Pelky, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19334 Issued in NC

Practice address

159 Weaver Blvd
Weaverville, NC 28787-8345

Phone

(828) 658-0902

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1538834445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WEAVER BLVD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878345",
            "telephone_number": "828-658-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WEAVER BLVD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878345",
            "telephone_number": "828-658-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKY",
        "first_name": "MIRANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Jumper Osborne, PT
• Chandra Passero, LMFT
• Jessica Payne, ORR/L
• Pamela Payne
• Tamera Lea Pearson, FNP
• Brenden Pelletier, PT, DPT
• Betty Lynn Perry, MS-CCC-SLP-
• Matthew Peterson, LCMHC
• Hailee Chandler Phillips, MS CCC-SLP
• Allyson Self Pickens, F-NP

• Physical Therapist in Weaverville, NC
• Providers in Weaverville, 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 Aug 12, 2021; 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.