NPIMap

Organization Active NPI

Mountain Area Spectrum Center, Inc

Doing business as Pediatric Therapy Solutions

  • Pediatric Occupational Therapist
  • Brevard, NC
National Provider Identifier
1730352816
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3247 Issued in NC
Legal business name
MOUNTAIN AREA SPECTRUM CENTER, INC
Doing business as
Pediatric Therapy Solutions
Practice address
159 King St # B
Brevard, NC 28712-3364
Phone
(828) 862-3282
Fax
(828) 862-3889
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mrs. Christy D. Davis
Title
Vice President
Phone
(828) 712-0245

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X
Pediatric Occupational Therapist 225XP0200X 3247 NC Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

159 King St # B
Brevard, NC 28712-3364

Mailing address

15 Loop Rd Ste 9
Arden, NC 28704-8435
Phone (828) 687-1700

Other identifiers 2

IdentifierTypeStateIssuer
7211642MedicaidNC
016U3OtherNCBLUE CROSS AND BLUE SHIEL

Other names 1

  • Pediatric Therapy Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Area Spectrum Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

159 King St
Ste B
Brevard, NC 28712
Phone (828) 538-4721

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1730352816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LOOP RD STE 9",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048435",
            "telephone_number": "828-687-1700",
            "fax_number": "828-687-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 KING ST # B",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123364",
            "telephone_number": "828-862-3282",
            "fax_number": "828-862-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AREA SPECTRUM CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-712-0245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3247",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211642",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "016U3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.