Vance Alexander Pearson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6987 Issued in NC

Practice address

101 Brucewood Rd
Southern Pines, NC 28387-5159

Phone

(910) 692-4928

NPI assigned

Jul 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1861045072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W BALTIMORE AVE",
            "city": "PINEBLUFF",
            "state": "NC",
            "postal_code": "283738194",
            "telephone_number": "910-585-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRUCEWOOD RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875159",
            "telephone_number": "910-692-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "VANCE",
        "middle_name": "ALEXANDER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Paul, MD
• Denise Maria Pavletic, MPH, RD
• Kelly Ann Payne, PT
• Michael S Payne, DPT
• Jeannine Noble Pearson, PT, DPT
• Lauren Peledge, FNP
• Rita Bianco Pena, COTA/L
• Victoria Pender, LMT
• Penick Village Inc
• Chelsea Perez

• Physical Therapy Assistant in Southern Pines, NC
• Providers in Southern Pines, 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 17, 2019; 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.