NPIMap

Organization Active NPI

Accelerated Care Inc

Doing business as Roxboro Physical Therapy

  • Physical Therapy Clinic/Center
  • Roxboro, NC
National Provider Identifier
1033255492
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8082 Issued in NC
Legal business name
ACCELERATED CARE INC
Doing business as
Roxboro Physical Therapy
Practice address
337 S Madison Blvd
Roxboro, NC 27573-5464
Phone
(336) 322-5335
Fax
(336) 322-5445
NPI assigned
Jan 30, 2007
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tommy Mathena
Title
President/ Owner
Phone
(434) 836-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8082 NC Primary

Addresses

Primary practice location

337 S Madison Blvd
Roxboro, NC 27573-5464

Mailing address

2140 Franklin Turnpike
Danville, VA 24540
Phone (434) 836-4158

Other identifiers 1

IdentifierTypeStateIssuer
011EYOtherNCBCBSNC GROUP ID#

Other names 1

  • ROXBORO PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080808000445 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8921041138 Practice locations: Roxboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033255492. Details of each certification follow.

  • CCN 346660 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346660

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROXBORO PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 29, 2010
Last certification
Jan 28, 2016
Ownership / control type
Proprietary
Facility address
337 South Madison Boulevard
Roxboro, NC 27573

National Provider Directory

National Provider Directory

Locations

406 Thompson St
Ste A
Eden, NC 27288

337 S Madison Blvd
Roxboro, NC 27573
Phone (336) 322-5335

509 Ridge Rd
Roxboro, NC 27573
Phone (336) 322-5335

4446 US Highway 220 N
Ste J
Summerfield, NC 27358

1481 S Boston Rd
Ste E
Danville, VA 24540

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1033255492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 FRANKLIN TURNPIKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-836-4158",
            "fax_number": "434-836-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735464",
            "telephone_number": "336-322-5335",
            "fax_number": "336-322-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "MATHENA",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "434-836-4158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "8082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP ID#",
            "identifier": "011EY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROXBORO PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.