NPIMap

Organization Active NPI

Carolina's Regional Therapy Associates

  • Physical Therapy Assistant
  • Indian Trail, NC
National Provider Identifier
1962721951
Registry record updated May 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3215 Issued in NC
Legal business name
CAROLINA'S REGIONAL THERAPY ASSOCIATES
Practice address
1102 Flagstone LN
Apt. 105
Indian Trail, NC 28079-8456
Phone
(980) 229-1621
NPI assigned
May 31, 2010
Last updated
May 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2010

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

Authorized official

Name
Mr. Jeffrey David Letexier
Title
Owner
Phone
(980) 229-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3215 NC Primary

Addresses

Primary practice location

1102 Flagstone LN
Apt. 105
Indian Trail, NC 28079-8456

Mailing address

1102 Flagstone LN.
Apt. 105
Indian Trail, NC 28079
Phone (980) 229-1621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275264000000",
    "number": "1962721951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 FLAGSTONE LN.",
            "address_2": "APT. 105",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "980-229-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 FLAGSTONE LN",
            "address_2": "APT. 105",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798456",
            "telephone_number": "980-229-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S REGIONAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-31",
        "last_updated": "2010-05-31",
        "status": "A",
        "authorized_official_last_name": "LETEXIER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-229-1621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2010; 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.