Orthocarolina, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38865 Issued in NC

Legal business name

ORTHOCAROLINA, PA

Practice address

895 State Farm Rd
Suite 303
Boone, NC 28607-4917

Phone

(704) 323-2000

NPI assigned

Feb 26, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brent Shear

Title

Cfo

Phone

(704) 323-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan David Lechner, PA-C

  • Physician Assistant
  • Concord, NC
  • NPI 1407832090
  NPD
• Arielle Christina Mauceri, PA-C, LAT, ATC

  • Physician Assistant
  • Charlotte, NC
  • NPI 1659745289

  Multi-Specialty

  NPD
• Charles Van Sikes III, MD

  • Orthopaedic Surgery Physician
  • Mooresville, NC
  • NPI 1467634758
  NPD
• William Arthur Thomas, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1467436543
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1922348010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 303",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "704-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-323-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "38865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901619",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria April Ormand, ATC, LAT
• Jo Ann Orr, LCSW
• Orthocarolina
• Orthocarolina
• Orthocarolina, PA
• Patricia Joyce Outland, APRN NPSYCH PMHNP
• Elizabeth Lee Owoc
• Peter Paglen, MA, NCC, LCMHC
• John E Palmer, M.D.
• Parisa Tashakkori, D.M.D., P.a

• Physical Therapist in Boone, NC
• Providers in Boone, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.