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EASTER SEALS UCP NC INC NPI 1194864439


NPI Information

NPI: 1194864439
Provider Name: EASTER SEALS UCP NC INC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
716 MARSH RD
CHARLOTTE, NC
ZIP 28209
Phone: (704) 522-9912
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EASTER SEALS UCP NC INC is a pediatrics physical therapist in Charlotte, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. EASTER SEALS UCP NC INC NPI is 1194864439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

716 MARSH RD
CHARLOTTE, NC
ZIP 28209-851
Phone: (704) 522-9912
Fax: (704) 522-9914

The provider's authorized official is Loreen Sorrentino .
The authorized official title is Asst Director and has the following contact phone number (704) 522-9912.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics9217NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17211769MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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