Active NPI
Childworks Therapy, LLC
- Pediatric Physical Therapist
- Charlotte, NC
National Provider Identifier
1831243450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4003
- Legal business name
- CHILDWORKS THERAPY, LLC
- Practice address
- 8257 Tradd CT
Charlotte, NC 28210-7297 - Phone
- (704) 575-2670
- Fax
- (704) 553-7587
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan P Bessey, PT, PCS
- Title
- Ceo
- Phone
- (704) 575-2670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4003 | NC | Primary |
Addresses
Primary practice location
8257 Tradd CT
Charlotte, NC 28210-7297
Mailing address
8257 Tradd CT
Charlotte, NC 28210-7297
Phone (704) 575-2670
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3557 | Other | NC | MEDCOST |
| 721041G | Medicaid | NC | |
| 0796N | Other | NC | BLUE CROSS BLUE SHIELD |
| 0004526411 | Other | NC | AETNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1235404401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831243450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8257 TRADD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282107297",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8257 TRADD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282107297",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDWORKS THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BESSEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-575-2670",
"authorized_official_credential": "PT, PCS"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "4003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D3557",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "721041G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0796N",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004526411",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.