Patricia B McColl

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5026 Issued in NC

Practice address

1555 Willis Ave
Lumberton, NC 28358-4283

Phone

(910) 739-6048

NPI assigned

Sep 11, 2017

Sex

Female

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1902325939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SQUIRES POINT LN",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 WILLIS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584283",
            "telephone_number": "910-739-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLL",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda McAllister, LCASA
• Dontay Shawmonick McArn, LCMHC
• Jayme Emil McArthur-Herder, MD
• Mack Ira McClain, M.D.
• Charnelle McClellan, MA. CCC-SLP
• Carolyn Brumm McCormick, MD
• Desmond McCoy
• Reaundra McCullough-Roach, MD
• Tasha M McCullough, LCSW-A, MSW
• Joseph McDaniel Jr., M.ED., MBA

• Physical Therapy Assistant in Lumberton, NC
• Providers in Lumberton, 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 Sep 11, 2017; 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.