NPIMap

Organization Active NPI

Pynokul Therapeutic and Developmental Services, LLC

  • Rehabilitation Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1699450270
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PYNOKUL THERAPEUTIC AND DEVELOPMENTAL SERVICES, LLC
Practice address
8712 Tin Lizza Dr
Fayetteville, NC 28314-8452
Phone
(910) 682-7354
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Fatimah Z Webb, LCAS, MS ABANPI 1295423341
Title
Operations Manager
Phone
(910) 682-7354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Rehabilitation Hospital Unit 273Y00000X

Addresses

Primary practice location

8712 Tin Lizza Dr
Fayetteville, NC 28314-8452

Mailing address

8712 Tin Lizza Dr
Fayetteville, NC 28314-8452
Phone (910) 682-7354

Other names 2

  • Limited Liability Other name
  • Pynokul Therapeutic and Developmental Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1699450270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 TIN LIZZA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148452",
            "telephone_number": "910-682-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 TIN LIZZA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148452",
            "telephone_number": "910-682-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYNOKUL THERAPEUTIC AND DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "FATIMAH",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "910-682-7354",
        "authorized_official_credential": "LCAS, MS ABA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limited Liability",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pynokul Therapeutic and Developmental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.