=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639687965
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PIN POINT PHYSICAL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2018
-----------------------------------------------------
Last Update Date | 08/15/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5821 FAIRVIEW RD STE 215
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28209-3649
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-612-6797
-----------------------------------------------------
Fax | 980-422-0089
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7428 EDENBRIDGE LN
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28226-3392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-840-2361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER/OWNER
-----------------------------------------------------
Name | DR. GINGER LEE MORRISSEY
-----------------------------------------------------
Credential | PT, DPT, FAAOMPT
-----------------------------------------------------
Telephone | 704-840-2361
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 5699
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 11551
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------