Viking Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VIKING PHYSICAL THERAPY LLC

Practice address

18 Creekside Cir Unit 18
Hayesville, NC 28904-4405

Phone

(828) 415-1543

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Vance IngleNPI 1568157667

Title

Owner

Phone

(828) 415-1543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vance Baxter Ingle

  • Physical Therapist
  • Mineral Bluff, GA
  • NPI 1568157667

  NC

  Medicare reassignment NPD Authorized official
• Margaret Lynne Stepp, PT

  • Physical Therapist
  • Hayesville, NC
  • NPI 1144091851
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1801667035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CREEKSIDE CIR UNIT 18",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289044405",
            "telephone_number": "828-415-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CREEKSIDE CIR UNIT 18",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289044405",
            "telephone_number": "828-415-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "VANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-415-1543"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte R Townsend
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• Judith Helen Wikstrom, FNP

• Physical Therapist in Hayesville, NC
• Providers in Hayesville, 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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.