BERRY DEWAYNE AYCOCK (NPI# 1386204923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386204923 |
| Entity Type | Individual |
| Full Name | BERRY DEWAYNE AYCOCK |
| Credential | CPO |
| Practice Address |
325 Page Rd N Ste 3 Pinehurst NC 28374-0088 |
| Mailing Address |
Po Box 4754 Pinehurst NC 28374-4754 |
| Practice Telephone | 9102952828 |
| Mailing Telephone | 9102952828 |
| Mailing Fax Number | 9102952996 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 02948 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224P00000X | Prosthetist | 02948 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
325 PAGE RD N STE 3 |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-0088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603442 | Alan Kur | Orthotist | 508 Small Dr, Elizabeth City, NC 27909-9498 | 2020-06-09 |
| 1497386452 | Kaddie Surratt | Orthotist | 400 Meadowmont Village Cir Ste 425, Chapel Hill, NC 27517-7505 | 2020-01-29 |
| 1386288298 | Limbionics of Goldsboro, Inc. | Orthotist | 2103 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-1721 | 2019-11-04 |
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1558856450 | Jason Pantages | Orthotist | 200 Timberhill Pl Unit 203, Chapel Hill, NC 27514-1964 | 2018-06-25 |
| 1326530809 | Zoe Butler | Orthotist | 5007 Southpark Dr Ste 110, Durham, NC 27713-7739 | 2018-05-31 |
| 1407350507 | Performance Footcare | Orthotist | 2024 Randolph Rd, Charlotte, NC 28207-1216 | 2018-03-22 |
| 1437660834 | Christos George Lemonis | Orthotist | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 | 2017-10-12 |
| 1871003616 | Andrew Humann | Orthotist | 715 Fairgrove Church Rd Se Ste 203, Conover, NC 28613-9289 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
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| 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.