Organization
YANCEY CENTER FOR PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RAYMOND MEDINA P.T. (DIRECTOR OF PHYSICAL THERAPY)
(828) 682-1500
Entity
Organization
Contact information
Practice address
1720 W US HIGHWAY 19E, BURNSVILLE, NC 28714-8602
(828) 682-1500
(828) 682-1505
Mailing address
1720 W US HIGHWAY 19E, BURNSVILLE, NC 28714-8602
(828) 682-1500
(828) 682-1505
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350866700
US DEPT OF LABOR
NY
01
—
58457
BLUE CROSS BLUE SHIELD
NC
01
—
64-00006
UNITED HEALTHCARE
NC
01
—
65002114
MEDICARE RAILROAD
NC
05
—
7210872
—
NC
01
—
A4150
MEDCOST
NC
Enumeration date
09/07/2005
Last updated
04/05/2011
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