Greenville Physical Therapy and Associates, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3398 Issued in NC

Legal business name

GREENVILLE PHYSICAL THERAPY AND ASSOCIATES, INC

Practice address

2430 Charles Blvd
Greenville, NC 27858-5924

Phone

(252) 714-5060

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sherrie Weston Odom, P.T.

Title

President

Phone

(252) 714-3344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie B. Clark, P.T.

  • Physical Therapist
  • Greenville, NC
  • NPI 1306991856
  Medicare reassignment Care Compare group NPD
• Carmen Larae McDonald, P.T.

  • Physical Therapist
  • Greenville, NC
  • NPI 1811987498
  Medicare reassignment Care Compare group NPD
• Sherrie Denise Odom, LPT

  • Physical Therapist
  • Greenville, NC
  • NPI 1528175023
  Medicare reassignment Care Compare group NPD
• Michael Odom Jr., DPT

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1205245552
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1992982276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4065",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278362065",
            "telephone_number": "252-714-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585924",
            "telephone_number": "252-714-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PHYSICAL THERAPY AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "WESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-714-3344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.