Mount Olive Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8724 Issued in NC

Legal business name

MOUNT OLIVE PHYSICAL THERAPY LLC

Practice address

232 Smith Chapel Rd
Mount Olive, NC 28365-1917

Phone

(919) 635-4500

Fax

(919) 635-4999

NPI assigned

Feb 28, 2007

Last updated

May 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Adam Livengood, MPTNPI 1003896879

Title

Owner

Phone

(919) 635-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Adam Livengood, LPT

  • Physical Therapist
  • Mount Olive, NC
  • NPI 1003896879
  Medicare reassignment NPD Authorized official
• Whitney Combs, PTA

  • Physical Therapy Assistant
  • Mount Olive, NC
  • NPI 1083335731
  NPD
• Amy Smith Galloway, PT

  • Specialist
  • Goldsboro, NC
  • NPI 1760554117
  NPD
• Willam G Graves, PTA

  • Physical Therapy Assistant
  • Mount Olive, NC
  • NPI 1285355933
  NPD
• Tracy Tucker

  • Physical Therapy Assistant
  • Mount Olive, NC
  • NPI 1053026245
  NPD
• Riley Houston Tyndall, DPT

  • Physical Therapist
  • Mount Olive, NC
  • NPI 1366396350
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1841328390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SMITH CHAPEL RD",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651917",
            "telephone_number": "919-635-4500",
            "fax_number": "919-635-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SMITH CHAPEL RD",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651917",
            "telephone_number": "919-635-4500",
            "fax_number": "919-635-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-635-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212357",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessi Brooke Morgan, PHARMD
• Iman Motamed, DC
• Kiana Motamed, DC
• Massoud Motamed, D.C.
• Shanta Motamed, DC
• Mt Olive Family Medicine Center Inc
• Mt. Olive Chiropractic Clinic, P.C.
• Mt. Olive Family Medicine Center
• Javier Murillo
• Catherine F Noonan, LCSW

• Physical Therapist in Mount Olive, NC
• Providers in Mount Olive, 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 May 23, 2016; 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.