Active NPI
Hunter McKenzie Mashburn, PTA
- Physical Therapy Assistant
- Salisbury, NC
National Provider Identifier
1689235145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.