Active NPI
Patricia Louise Elder, P.T.
- Physical Therapist
- Wilson, NC
National Provider Identifier
1720015001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15531
- Practice address
- 2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620 - Phone
- (252) 243-6818
- Fax
- (252) 243-9557
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3458 | FL | |
| Physical Therapist | 225100000X | 15531 | NC | Primary |
Addresses
Primary practice location
2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Mailing address
205 Keswick LN
Clayton, NC 27520-7350
Phone (352) 650-9335
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3458 | FL | MD | Marriage & Family Therapist |
| 15531 | NC | MD | Pharmacist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1720015001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 KESWICK LN",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275207350",
"telephone_number": "352-650-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 WELLINGTON DR SW",
"address_2": "SUITE B",
"city": "WILSON",
"state": "NC",
"postal_code": "278938620",
"telephone_number": "252-243-6818",
"fax_number": "252-243-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "PATRICIA",
"middle_name": "LOUISE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "3458",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Ohiosumuan Chibuikem Ehimiaghe, DMD
- Eiccua LLC
- Eiccua LLC (WilsonValue Drug Store)
- Eiccua LLC (WilsonValue Drug Store)
- Rebecca L Eichner, DPT
- Mark Eldridge, P.A.
- Elegant Ladies of the Future, Inc. (Rogers Behavioral Health Services)
- Elena All Good Services LLC
- Elena All Goos Services LLC
- Elevated Her PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.