NPIMap

Organization Active NPI

Roanoke Therapy Services

  • Specialist
  • Williamston, NC
National Provider Identifier
1972910941
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9713 Issued in NC
Legal business name
ROANOKE THERAPY SERVICES
Practice address
115 West Blvd
Williamston, NC 27892-2663
Phone
(252) 792-7908
Fax
(252) 792-5924
NPI assigned
Jul 22, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Warren Dean McCall, PT, OCSNPI 1881710960
Title
President
Phone
(252) 792-7908

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 9713 NC Primary

Addresses

Primary practice location

115 West Blvd
Williamston, NC 27892-2663

Mailing address

115 West Blvd
Williamston, NC 27892-2663
Phone (252) 792-7908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141213000229 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052633484 Receives reassigned benefits from 8 practitioners
Practice locations: Fairfield, NC; Williamston, NC; Plymouth, NC

National Provider Directory

National Provider Directory
Tax ID family
Roanoke Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2756 US Highway 64 E
Plymouth, NC 27962
Phone (252) 791-1006

Practitioners & affiliated clinicians

Practitioners 10

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": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1972910941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922663",
            "telephone_number": "252-792-7908",
            "fax_number": "252-792-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922663",
            "telephone_number": "252-792-7908",
            "fax_number": "252-792-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-792-7908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.