Organization Active NPI

Little Angels Therapy, Inc.

  • Physical Therapist
  • Hickory, NC
National Provider Identifier
1730493271
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LITTLE ANGELS THERAPY, INC.
Practice address
2121 12TH Ave NE
Hickory, NC 28601-3187
Phone
(828) 578-6028
Fax
(855) 767-7030
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Mr. Thomas Doyle Ford, PTANPI 1467759027
Title
Vice President
Phone
(828) 302-2056

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X P-7142 NC

Addresses

Primary practice location

2121 12TH Ave NE
Hickory, NC 28601-3187

Mailing address

21 River Terrace CT
Taylorsville, NC 28681-3920
Phone (828) 302-2055

Other practice location 1

6005 Spartan Dr
Hudson, NC 28638-9055
Phone (828) 212-0599

Other identifiers 2

IdentifierTypeStateIssuer
7211713MedicaidNC
7200384MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Little Angels Therapy Inc2 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

6005 Spartan Dr
Hudson, NC 28638
Phone (828) 212-0599

Practitioners & affiliated clinicians

Practitioners 5

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1730493271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIVER TERRACE CT",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813920",
            "telephone_number": "828-302-2055",
            "fax_number": "828-495-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013187",
            "telephone_number": "828-578-6028",
            "fax_number": "855-767-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Spartan Dr",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NC",
            "postal_code": "286389055",
            "country_code": "US",
            "telephone_number": "828-212-0599",
            "fax_number": "855-767-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE ANGELS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-302-2056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P-7142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211713",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.