Savanna Lynn Badgett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4461 Issued in NC

Practice address

204 Old Brickyard Rd
North Wilkesboro, NC 28659-8971

Phone

(336) 667-3986

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1790260636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 RED CEDAR LN",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270177614",
            "telephone_number": "336-710-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 OLD BRICKYARD RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598971",
            "telephone_number": "336-667-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGETT",
        "first_name": "SAVANNA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A4461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHYSICAL THERAPY EXAMINERS PTA LICENSE",
            "identifier": "A4461",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Artizo Ministries
• Derwood Lee Ashworth, D.D.S., M.SC.O.
• Ats of North Carolina, LLC (Mountain Health Solutions North Wilkesboro)
• Wun CHI Augustin, D.O.
• Autumn Oak Home Care LLC
• Sandra K. Baker, MD
• Susan Suddreth Baker, RPH
• Joshua C Ballard, FNP
• Brenda Barber
• Melane Childress Barber, LCAS

• Physical Therapy Assistant in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.