Proactive Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROACTIVE THERAPY AND WELLNESS

Practice address

6579 Lake Brandt Rd
Summerfield, NC 27358-9716

Phone

(336) 403-9582

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By 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

Michele Walker, PTNPI 1548993751

Title

Owner/Operator

Phone

(336) 403-9582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 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.

• Michele Walker

  • Physical Therapist
  • Summerfield, NC
  • NPI 1548993751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1568288447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6579 LAKE BRANDT RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589716",
            "telephone_number": "336-403-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6579 LAKE BRANDT RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589716",
            "telephone_number": "336-403-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-403-9582",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan James Parry, DDS
• Merlin Paul
• Lindsly Pittman, MS, OTR/L
• Benton Todd Powley, PTA
• Preventative Wellness Solutions I PLLC
• Lisa Ann Rancer, DPT
• Restoration & Clarity Counseling Center, PLLC
• Rha Health Services NC, LLC
• John Patrick Ringhisen, ATS
• Denia Rose Royster, MSN, FNP-BC

• Physical Therapy Clinic/Center in Summerfield, NC
• Providers in Summerfield, 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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.