Active NPI
Angela Dix, PTA
- Physical Therapy Assistant
- Hillsborough, NC
National Provider Identifier
1750720645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A4831
- Practice address
- 1021 Ranger Dr
Hillsborough, NC 27278-9034 - Phone
- (803) 899-0399
- NPI assigned
- Jun 24, 2013
- 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 Therapy Assistant | 225200000X | A4831 | NC | Primary |
| Physical Therapy Assistant | 225200000X | 2304 | SC |
Addresses
Primary practice location
1021 Ranger Dr
Hillsborough, NC 27278-9034
Mailing address
1021 Ranger Dr
Hillsborough, NC 27278-9034
Phone (803) 899-0399
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 |
|---|---|---|---|
| 2304 | SC | MD | Physical Therapist |
| A4831 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1750720645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 RANGER DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789034",
"telephone_number": "803-899-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 RANGER DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789034",
"telephone_number": "803-899-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX",
"first_name": "ANGELA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A4831",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "2304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.