John Raymond Medina, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4787 Issued in NC

Practice address

1720 W US Highway 19E
Burnsville, NC 28714-8602

Phone

(828) 682-1500

Fax

(828) 682-1505

NPI assigned

Sep 9, 2005

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yancey Center for Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Burnsville, NC
  • NPI 1497749352
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1770577397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287141358",
            "telephone_number": "828-682-1500",
            "fax_number": "828-682-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W US HIGHWAY 19E",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287148602",
            "telephone_number": "828-682-1500",
            "fax_number": "828-682-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn McCurry, LCSW, LCAS
• Brianne Elise McFee
• Caroline Elisabeth McFee, MS CCC-SLP
• James Hamilton Woodrow McKay III, M.D.
• Karen Gail McLaughlin, FNP
• Margaret Medlock
• MH Blue Ridge Medical Center, LLLP (Blue Ridge Medical Center - Yancey Campus)
• MH Mission Hospital, LLLP (Yancey County EMS)
• Louis Rolland Michalove, RPH
• Nalda Rives Mills, LPC-A

• Physical Therapist in Burnsville, NC
• Providers in Burnsville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.