PROVISIONS PEDIATRIC THERAPY, LLC (NPI# 1104013721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104013721 |
| Entity Type | Organization |
| Organization Name | PROVISIONS PEDIATRIC THERAPY, LLC |
| Practice Address |
1456 Carolina Dr Sanford NC 27332-7341 |
| Mailing Address |
Po Box 639 Sanford NC 27331-0639 |
| Practice Telephone | 9193534499 |
| Mailing Telephone | 9193534499 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | MRS. RACHEL PATTERSON BROWN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9193534499 |
| Authorized Official Credential | B.S., PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2908 | NC | Ambulatory Health Care Facilities |
| Street Address |
1456 CAROLINA DR |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528074598 | Rachel Brown | Physical Therapist | 1456 Carolina Dr, Sanford, NC 27332-7341 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245336 | Butler Performance Physical Therapy | Clinic/Center | 93 Wood Run, Sanford, NC 27332-6693 | 2017-03-05 |
| 1285026195 | Darlene Smith Powers | Clinic/Center | 410 Cricket Hearth Rd, Sanford, NC 27330-6335 | 2015-03-02 |
| 1245670298 | Firsthealth of The Carolinas, Inc. | Clinic/Center | 2925 Beechtree Dr Ste 145, Sanford, NC 27330-6934 | 2013-07-04 |
| 1508053489 | Performance Rehabilitation Corp. | Clinic/Center | 1408 Greenway Court, Sanford, NC 27330-6953 | 2007-09-25 |
| 1316089568 | Lake Mary Physical Therapy, Inc. | Clinic/Center | 820 W Lake Mary Blvd, Suite 102, Sanford, FL 32773-5946 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1750988861 | Homefront Physical Therapy, LLC | Clinic/Center | 100 Fullard Dr, Sneads Ferry, NC 28460-9530 | 2020-10-02 |
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1093329617 | Begin With Breath, LLC | Clinic/Center | 37 Hampden Rd, Asheville, NC 28805-2421 | 2020-09-01 |
| 1225641020 | Flo Physical Therapy & Performance LLC | Clinic/Center | 13959 Tom Short Rd, Marvin, NC 28173-5300 | 2020-08-31 |
| 1689286122 | 2662 Pursuits LLC | Clinic/Center | 279 Paragon Pkwy, Clyde, NC 28721-8509 | 2020-08-17 |
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVISIONS PEDIATRIC THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.