Allen Wayne Addison, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A372 Issued in NC

Practice address

1810 Concord Lake Rd
Kannapolis, NC 28083-6434

Phone

(704) 933-3781

NPI assigned

Jan 13, 2012

Last updated

Jan 13, 2012By the provider in NPPES

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1902177587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 GEORGIA ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255380",
            "telephone_number": "704-933-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CONCORD LAKE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836434",
            "telephone_number": "704-933-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "ALLEN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Su Lado Therapy PLLC
• A- Mae's Solution LLC
• Ability Chiropractic Kannapolis PLLC (Ability Chiropractic)
• Ryan Accomazzo, MD
• Karen Sue Adams, LMT
• Adept Business Management LLC
• Adept Business Management LLC
• Adept Business Mangement LLC (Adept Consulting)
• Agape Essential Inc
• Nawras Al-Khoury, D.M.D

• Physical Therapy Assistant in Kannapolis, NC
• Providers in Kannapolis, 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 Jan 13, 2012; 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.