Active NPI
Julia Dianne Visosky-Connor, PHYSICAL THERAPIST
- Physical Therapist
- Clyde, NC
National Provider Identifier
1861665010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9695
- Practice address
- 262 Leroy George Dr
Clyde, NC 28721-7430 - Phone
- (828) 425-8920
- Fax
- (828) 425-8870
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9695 | NC | Primary |
Addresses
Primary practice location
262 Leroy George Dr
Clyde, NC 28721-7430
Mailing address
262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 425-8920
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9695 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1861665010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430",
"telephone_number": "828-425-8920",
"fax_number": "828-425-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430",
"telephone_number": "828-425-8920",
"fax_number": "828-425-8870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISOSKY-CONNOR",
"first_name": "JULIA",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.