Pta

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

2251500000X Issued in NC

Legal business name

PTA

Practice address

1900 Sheldon Road
Greensboro, NC 27405

Phone

(336) 609-1832

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Hrachel Ayun

Title

Pta

Phone

(336) 609-1832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1780049429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SHELDON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274051645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SHELDON ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-609-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "AYUN",
        "authorized_official_first_name": "HRACHEL",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "336-609-1832"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "2251500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.