Allison Averitt
Individual provider Active NPI Physical Therapist · West End, NC
NPI 1639630932 · NPPES record last updated Mar 28, 2019
Key facts
- NPI
- 1639630932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P15065 (NC)
- Practice address
- 1163 7 Lakes Dr
West End, NC 27376 - Phone
- (910) 673-5437
- Fax
- (910) 673-5438
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P15065 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Pediatric Therapy Serivces | Past | Accepting new patients | |
| Moore Pediatric Therapy Serivces | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15065 | NC | Yes |
Addresses
Primary practice location
1163 7 Lakes Dr
West End, NC 27376
Mailing address
PO Box 354
West End, NC 27376-0354
Phone (910) 673-5437
Other providers in West End, NC
- Holly Anne Appanaitis
- Doria Kosmala Arthur
- Jennifer Ellen Neal Ashwell
- Melissa Sue Aubin
- Elizabeth August
- Cydney Baldwin
- Kim Lee Barber
- Abigail Kennedy Barberousse
- Anjanette Barrick-Phillips
- Barry L Kavanaugh Jr OD PA
All providers in West End, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.