Individual provider Active NPI

Brandon Thomas Maples, DPT

  • Physical Therapy Assistant
  • Morehead City, NC
National Provider Identifier
1841702479
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6396 Issued in NC
Practice address
4218M Arendell St
Morehead City, NC 28557-2866
Phone
(252) 808-3100
Fax
(252) 808-3100
NPI assigned
Nov 6, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6396 NC Primary

Addresses

Primary practice location

4218M Arendell St
Morehead City, NC 28557-2866

Mailing address

4218M Arendell St
Morehead City, NC 28557-2866
Phone (252) 808-3100

Other practice location 1

1165 Cedar Point Blvd Ste M
Cedar Point, NC 28584-1030
Phone (252) 808-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841702479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218M ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218M ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Cedar Point Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Cedar Point",
            "state": "NC",
            "postal_code": "285841030",
            "country_code": "US",
            "telephone_number": "252-808-4450",
            "fax_number": "252-764-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.