# PTA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780049429
- **Authorized official:** HRACHEL AYUN (PTA)
- **Authorized official phone:** (336) 609-1832

## Contact information

- **Practice address:** 1900 SHELDON ROAD, GREENSBORO, NC 27405
- **Practice address phone:** (336) 609-1832
- **Mailing address:** 1900 SHELDON RD, GREENSBORO, NC 27405-1645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 2251500000X | NC | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 12/23/2015