Flat Rock Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

8415 Issued in NC

Legal business name

FLAT ROCK PHYSICAL THERAPY, LLC

Practice address

615 Kanuga Rd
Hendersonvlle, NC 28739-5227

Phone

(828) 696-9411

Fax

(828) 696-8202

NPI assigned

Dec 11, 2007

Last updated

Mar 5, 2008By 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. Edward Maynor, PTNPI 1427184613

Title

Owner

Phone

(828) 696-9411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Maynor, PT

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1427184613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1932382041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KANUGA RD",
            "city": "HENDERSONVLLE",
            "state": "NC",
            "postal_code": "287395227",
            "telephone_number": "828-696-9411",
            "fax_number": "828-696-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 KANUGA RD",
            "city": "HENDERSONVLLE",
            "state": "NC",
            "postal_code": "287395227",
            "telephone_number": "828-696-9411",
            "fax_number": "828-696-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MAYNOR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-696-9411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "8415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Gillet, LCSW
• Worlds Edge Wellness LLC

• Orthopedic Physical Therapist in Hendersonvlle, NC
• Providers in Hendersonvlle, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.