Active NPI
Ann Marie Bishop, P.T.
- Physical Therapist
- Burgaw, NC
National Provider Identifier
1952589178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13661
- Practice address
- 311 S Campbell St
Burgaw, NC 28425-5011 - Phone
- (910) 300-6424
- Fax
- (910) 300-6425
- NPI assigned
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 864 | WV | |
| Physical Therapist | 225100000X | 13661 | NC | Primary |
Addresses
Primary practice location
311 S Campbell St
Burgaw, NC 28425-5011
Mailing address
1900 Webster Rd
Summersville, WV 26651-1034
Phone (304) 872-6353
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 |
|---|---|---|---|
| 864 | WV | MD | Psychologist |
| 13661 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1952589178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WEBSTER RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511034",
"telephone_number": "304-872-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S CAMPBELL ST",
"city": "BURGAW",
"state": "NC",
"postal_code": "284255011",
"telephone_number": "910-300-6424",
"fax_number": "910-300-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "864",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "13661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burgaw, NC
- Macy Leigh Baynor, LCSWA
- Autumn Beech, LCSWA
- Sylvia Gail Bellamy-Simpson, MA, LCAS-A
- Benchmark Physical Therapy of NC, LLC
- Benjamin O. Akiwumi, MD (St. Luke's Medical Center)
- Black River Health Services Inc (Black River Family Practice)
- Black River Health Services Inc (Black River Family Practice)
- Black River Health Services, Inc.
- Black River Health Services, Inc. (Black River Family Pharmacy)
- Taylor Ann Blake, ATS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.