Myokinetic PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MYOKINETIC PT LLC

Practice address

135 N River Rd
Fletcher, NC 28732-0148

Phone

(828) 490-1567

NPI assigned

Sep 5, 2020

Organization subpart

No

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

Authorized official

Name

Olive Madarang, PTNPI 1598153116

Title

Managing Member/Owner

Phone

(828) 490-1567

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.

• Olive Madarang, PT

  • Physical Therapist
  • Fletcher, NC
  • NPI 1598153116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1619581758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N RIVER RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287320148",
            "telephone_number": "828-490-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N RIVER RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287320148",
            "telephone_number": "828-490-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOKINETIC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "MADARANG",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "828-490-1567",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Fletcher, NC
• Providers in Fletcher, 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 Sep 5, 2020; 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.