Candace Wright, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A7197 Issued in NC

Practice address

2 The Square at Lillington
Lillington, NC 27546-8030

Phone

(910) 893-2850

Fax

(910) 984-1515

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1801263231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 THE SQUARE AT LILLINGTON",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468030",
            "telephone_number": "910-893-2850",
            "fax_number": "910-984-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 THE SQUARE AT LILLINGTON",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468030",
            "telephone_number": "910-893-2850",
            "fax_number": "910-984-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6842 Chatham Rd",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442568503",
            "country_code": "US",
            "telephone_number": "330-410-6458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CANDACE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace@tbtwonline.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 The Square At Lillington",
            "city": "Lillington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275468030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catrice W Williamson, SOCIAL WORKER
• Aubrey Lenore Wilson, PA-C
• Keanna Womble
• Ashley Nicole Wood, PTA
• Koral Worsham, RN
• William Xiang, MD
• Christina Phan Xiong, PA-C
• Rebecca Jane Yakel, LCMHCA, NCC
• Anna O'Brien Yates, DMD
• Xixi Yi

• Physical Therapy Assistant in Lillington, NC
• Providers in Lillington, 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 Jul 7, 2020; 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.