Organization Active NPI

My PT LLC

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1669908505
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14170 Issued in NC
Legal business name
MY PT LLC
Practice address
112 Quailview Dr
Chapel Hill, NC 27516-9337
Phone
(919) 260-6912
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mrs. Virginina G Lanier, PT, DPT
Title
Owner, Physical Therapist
Phone
(919) 260-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P14170 NC Primary

Addresses

Primary practice location

112 Quailview Dr
Chapel Hill, NC 27516-9337

Mailing address

112 Quailview Dr
Chapel Hill, NC 27516-9337
Phone (919) 260-6912

Other identifiers 2

IdentifierTypeStateIssuer
1841595881OtherNPI
P14170OtherNCPT LICENSE

National Provider Directory

National Provider Directory

Locations

1821 Fordham Blvd
Ste 5
Chapel Hill, NC 27514
Phone (919) 260-6912

1821 Fordham Blvd
Chapel Hill, NC 27514

201 S Estes Dr
Chapel Hill, NC 27514
Phone (919) 260-6912

5842 Fayetteville Rd
Ste 111
Durham, NC 27713
Phone (919) 237-3008

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1669908505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUAILVIEW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169337",
            "telephone_number": "919-260-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUAILVIEW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169337",
            "telephone_number": "919-260-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "VIRGININA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-260-6912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841595881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P14170",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.