Individual provider Active NPI

Hunter McKenzie Mashburn, PTA

  • Physical Therapy Assistant
  • Salisbury, NC
National Provider Identifier
1689235145
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
548 White Oaks Dr
Salisbury, NC 28147-8183
Phone
(980) 643-8402
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X NC Primary

Addresses

Primary practice location

548 White Oaks Dr
Salisbury, NC 28147-8183

Mailing address

2310 Woodlawn St
Kannapolis, NC 28083-3066
Phone (704) 267-3417

Other practice location 1

240 Branchview Dr NE
Concord, NC 28025-3498
Phone (844) 511-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1689235145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 WOODLAWN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833066",
            "telephone_number": "704-267-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 WHITE OAKS DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281478183",
            "telephone_number": "980-643-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Branchview Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253498",
            "country_code": "US",
            "telephone_number": "844-511-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "HUNTER",
        "middle_name": "MCKENZIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.