Organization Active NPI

Carolina Emg Specialists

  • Physical Therapist
  • Hickory, NC
National Provider Identifier
1033459532
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAROLINA EMG SPECIALISTS
Practice address
1899 Tate Blvd SE
Suite 2108
Hickory, NC 28602-4200
Phone
(704) 607-3483
Fax
(704) 464-1818
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
David J Dumond, DPTNPI 1861576670
Title
Owner
Phone
(704) 607-3483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X

Addresses

Primary practice location

1899 Tate Blvd SE
Suite 2108
Hickory, NC 28602-4200

Mailing address

6401 Stargaze LN
Charlotte, NC 28269-0802
Phone (704) 607-3483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000569 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931354289 Receives reassigned benefits from 1 practitioner
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

910 Tate Blvd SE
Ste 106
Hickory, NC 28602
Phone (828) 430-6134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1033459532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 STARGAZE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690802",
            "telephone_number": "704-607-3483",
            "fax_number": "704-464-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2108",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "704-607-3483",
            "fax_number": "704-464-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EMG SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "DUMOND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-607-3483",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.