Healthcare Provider Details

I. General information

NPI: 1730754623
Provider Name (Legal Business Name): JOHN ROSS FLANAGAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 UNION RD
GASTONIA NC
28056-8044
US

IV. Provider business mailing address

4829 DANVILLE PIKE
HILLSVILLE VA
24343-5423
US

V. Phone/Fax

Practice location:
  • Phone: 704-830-2136
  • Fax: 704-830-2138
Mailing address:
  • Phone: 276-730-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305214289
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22107
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: