NPIMap

Organization Active NPI

Appalachian Physica L Therapy, Inc

  • Specialist
  • Pinehurst, NC
National Provider Identifier
1669528402
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2199 Issued in NC
Legal business name
APPALACHIAN PHYSICA L THERAPY, INC
Practice address
211 Central Park Ave
Suite L
Pinehurst, NC 28374-8727
Phone
(910) 215-0541
Fax
(910) 215-9886
NPI assigned
Jan 26, 2007
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
William F Whiteford, PTNPI 1437148111
Title
President
Phone
(540) 901-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2199 NC Primary

Addresses

Primary practice location

211 Central Park Ave
Suite L
Pinehurst, NC 28374-8727

Mailing address

171 E Springbrook Rd
Broadway, VA 22815-9526
Phone (540) 901-9501

Other identifiers 1

IdentifierTypeStateIssuer
014MNOtherNCGROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040731000237 NC Part B Supplier - Clinic/Group Practice 6800866377 Receives reassigned benefits from 4 practitioners
Practice locations: Pinehurst, NC

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Phys Therap5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 Central Park Ave
#E
Pinehurst, NC 28374
Phone (910) 215-0541

211 Central Park Ave
#L
Pinehurst, NC 28374
Phone (910) 210-0541

1661 S Main St
#B
Harrisonburg, VA 22801
Phone (540) 434-1699

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1669528402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E SPRINGBROOK RD",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159526",
            "telephone_number": "540-901-9501",
            "fax_number": "540-901-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CENTRAL PARK AVE",
            "address_2": "SUITE L",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748727",
            "telephone_number": "910-215-0541",
            "fax_number": "910-215-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN PHYSICA L THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WHITEFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-901-9501",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "014MN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.