ANSLEY WALKER BOUTIN (NPI# 1104222785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104222785 |
| Entity Type | Individual |
| Full Name | ANSLEY WALKER BOUTIN |
| Other Name | ANSLEY ELIZABETH WALKER |
| Credential | PT |
| Practice Address |
10305 Hamptons Park Dr Ste 101 Huntersville NC 28078-7221 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043845520 |
| Practice Fax Number | 7043161848 |
| Mailing Telephone | 7043845520 |
| Mailing Fax Number | 7043161848 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7648 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10030 Gilead Rd Ste 103, Huntersville, NC 280787545 | 7043165505 | 7043165520 |
| Street Address |
10305 HAMPTONS PARK DR STE 101 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269962 | Edward Conrad Robles | Physical Medicine & Rehabilitation | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7217 | 2005-07-18 |
| 1528541026 | Chelsey Sisko | Physician Assistant | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7221 | 2018-09-11 |
| 1316426398 | Noant Medical Group, Inc | Physical Medicine & Rehabilitation | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7221 | 2018-08-09 |
| 1629563671 | Anastasia V. Slisenko | Nurse Practitioner | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078 | 2018-06-22 |
| 1376046581 | Novant Medical Group, Inc | Neurological Surgery | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7217 | 2018-03-14 |
| 1215454053 | Novant Medical Group, Inc | Pediatrics | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7217 | 2017-08-23 |
| 1285882688 | Novant Medical Group, Inc. | Psychiatry & Neurology | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7217 | 2008-08-28 |
| 1790893006 | James W. Forrest | Physician Assistant | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7221 | 2006-08-27 |
| 1578676979 | Charles Andrew Little | Pediatrics | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078 | 2006-08-17 |
| 1295759983 | Michael Christopher Ficenec | Pediatrics | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7221 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073691291 | Suzanne Marie Sadusky | Physical Therapist | 16455 Statesville Rd Ste 102, Attn: Credentialing, Huntersville, NC 28078-7137 | 2006-11-02 |
| 1669455200 | Kenneth Joseph Breath | Physical Therapist | 10030 Gilead Rd Ste 140, Huntersville, NC 28078-7545 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
Please comment or provide details below to improve the information on ANSLEY WALKER BOUTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.