Ortho Spine and Pain Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORTHO SPINE AND PAIN PHYSICAL THERAPY

Practice address

4139 Wedge Dr
Pfafftown, NC 27040-9709

Phone

(336) 815-8828

Fax

(336) 815-1546

NPI assigned

Feb 19, 2020

Last updated

Feb 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alex J Stovall, PT

Title

Partner

Phone

(336) 815-8828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1922631845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 WEDGE DR",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270409709",
            "telephone_number": "336-815-8828",
            "fax_number": "336-815-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 WEDGE DR",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270409709",
            "telephone_number": "336-815-8828",
            "fax_number": "336-815-1546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4139 Wedge Dr",
            "address_purpose": "LOCATION",
            "city": "Pfafftown",
            "state": "NC",
            "postal_code": "270409709",
            "country_code": "US",
            "telephone_number": "336-815-8828",
            "fax_number": "336-815-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO SPINE AND PAIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-815-8828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dianne Knapp, NNP-BC
• Victor Ebed Korang, MD
• Lifeforce Home Health Solutions, LLC (LifeForce HHS)
• Christine Denise Love Sterk, PHD, HSP-P
• Nisyja Cares LLP
• Pediatric Therapyworks, Inc
• Melanie Piper, DPT
• Najaila Polite
• Megan Rose
• Jared Ruddy

• Physical Therapy Clinic/Center in Pfafftown, NC
• Providers in Pfafftown, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.