Active NPI
Amy Elinor Wang, PT
- Pediatric Physical Therapist
- Jamestown, NC
National Provider Identifier
1912336629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4780
- Practice address
- 7004 Riverbend CT
Jamestown, NC 27282-8543 - Phone
- (336) 908-3669
- Fax
- (336) 294-4004
- NPI assigned
- Nov 3, 2013
- Last updated
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4780 | NC | Primary |
Addresses
Primary practice location
7004 Riverbend CT
Jamestown, NC 27282-8543
Mailing address
7004 Riverbend CT
Jamestown, NC 27282-8543
Phone (336) 908-3669
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 |
|---|---|---|---|
| 4780 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1912336629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 RIVERBEND CT",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828543",
"telephone_number": "336-908-3669",
"fax_number": "336-294-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7004 RIVERBEND CT",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828543",
"telephone_number": "336-908-3669",
"fax_number": "336-294-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "AMY",
"middle_name": "ELINOR",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-03",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "4780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.