Jack Dallas Atchison II
Physical Therapy Assistant in Greensboro, NC. Individual provider (NPI-1).
NPI number1992376248
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1992376248
- Entity type
- Individual (NPI-1)
- Name
- Jack Dallas Atchison II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A5265 | NC | Yes |
Practice location
1111 Pender LnGreensboro, NC 27408-6817
Phone 336-255-0947
Mailing address
1111 Pender LnGreensboro, NC 27408-6817
Phone 336-255-0947
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 60 Physical Therapy Assistant providers in Greensboro · All 11,475 providers in Greensboro
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