Active NPI
Carolina Orthopedic and Sports Physical Therapy, Inc
- Physical Therapy Clinic/Center
- Zebulon, NC
National Provider Identifier
1932396066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CAROLINA ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, INC
- Practice address
- 3108 Ginger Lake CT
Zebulon, NC 27597-5737 - Phone
- (919) 404-1448
- Fax
- (919) 404-1613
- NPI assigned
- Oct 3, 2007
- Last updated
- Jan 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- April Shanell Briddell, LCSW
- Title
- Owner/Office Manager
- Phone
- (252) 367-1153
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
3108 Ginger Lake CT
Zebulon, NC 27597-5737
Mailing address
PO Box 54
Zebulon, NC 27597-0054
Phone (919) 404-1448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7212306 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
817 Dickinson Ave
Greenville, NC 27834
Phone (252) 367-1118
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Salisbury, MD
- NPI 1740287259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357084800000",
"number": "1932396066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275970054",
"telephone_number": "919-404-1448",
"fax_number": "919-404-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 GINGER LAKE CT",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275975737",
"telephone_number": "919-404-1448",
"fax_number": "919-404-1613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2013-01-02",
"status": "A",
"authorized_official_last_name": "BRIDDELL",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "SHANELL",
"authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
"authorized_official_telephone_number": "252-367-1153",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212306",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zebulon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.