Search › North Carolina › 225100000X
Joscelyn Shumate Bourne, PT, DPT, CSCS
NPI 1336506617 · on the registry since 2016
Practice
- Address
- 5960 Fairview Rd Ste 250
Charlotte, NC 28210 - Phone
- (980) 224-7958
- Fax
- (980) 224-7973
- Organisation at this address
- Soso,Inc.
Autism180 Llc
Achieve Big Llc
Pure Trails Inc.
Different Mhp, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 130 Crisanto Ave Ste A, Fort Mill, SC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
2251S0007X
2251X0800X - Licence states on file
- NY, SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina