Active NPI
Doreen Marie Boothroyd, PTA
- Physical Therapy Assistant
- Mount Holly, NC
National Provider Identifier
1912201070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1839
- Practice address
- 329 Dutchmans Meadow Dr
Mount Holly, NC 28120-3015 - Phone
- (704) 297-9581
- NPI assigned
- Jan 4, 2011
- 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 Therapy Assistant | 225200000X | 1839 | NC | Primary |
Addresses
Primary practice location
329 Dutchmans Meadow Dr
Mount Holly, NC 28120-3015
Mailing address
329 Dutchmans Meadow Dr
Mount Holly, NC 28120-3015
Phone (704) 297-9581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1839 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1912201070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 DUTCHMANS MEADOW DR",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281203015",
"telephone_number": "704-297-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 DUTCHMANS MEADOW DR",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281203015",
"telephone_number": "704-297-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTHROYD",
"first_name": "DOREEN",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Holly, NC
- Better Living Home Health Care LLC
- Beyond Belief Family Services
- Abigail Wright Bishop, LCSWA
- Mercedes Martha Blackmon, RN
- Abby C Blowe, DDS
- John Martin Bradshaw, PA-C
- Joelle Brown Bridges, FNP-C
- Brlvant Behavioral Health Services and Life Coaching, PLLC
- Barbara J Brown, LCSW, RDT
- Kelly Justin Busher, LCSWA, PSS, QP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.