Oak Ridge Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Oak Ridge, NC
NPI 1659527729 · NPPES record last updated Aug 10, 2008
Key facts
- NPI
- 1659527729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3679 (NC)
- Legal business name
- OAK RIDGE PHYSICAL THERAPY, INC.
- Practice address
- 2205 Oak Ridge Rd
Suite FF
Oak Ridge, NC 27310-8728 - Phone
- (336) 644-0201
- Fax
- (336) 644-0501
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew D Michels, PT
- Title
- Owner
- Phone
- (336) 644-0201
Practitioners 10
-
Jennifer Lewis Holland, M.P.T.
-
Andrew D Michels, PT
-
Amanda Strader, PT, ATC
-
Ryan Rubio, D.P.T.
-
Donald Seth Barber, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080819000122 | NC | Part B Supplier - Clinic/Group Practice | 5395810808 |
Receives reassigned benefits from 9 practitioners Practice locations: Eden, NC; Oak Ridge, NC; Summerfield, NC |
National Provider Directory
Locations
2205 Oak Ridge Rd
Ste Ff
Oak Ridge, NC 27310
Phone (336) 644-0201
1007 NC Highway 150 W
Ste D
Summerfield, NC 27358
Phone (336) 643-8843
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 3679 | NC | Yes |
Addresses
Primary practice location
2205 Oak Ridge Rd
Suite FF
Oak Ridge, NC 27310-8728
Mailing address
PO Box 875
Oak Ridge, NC 27310-0875
Phone (336) 644-0201
Other providers in Oak Ridge, NC
- North Carolina CVS Pharmacy LLC
- Northstate Medical Associates P.a.
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Oak Ridge Counseling PLLC
- Matthew John Olmsted
- P 356 Enterprises, Inc
- Malori Parsells
- Umabala Pasupala
- Sherilyn Kay Peachey
All providers in Oak Ridge, 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 Aug 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.