Carolina Physical Therapy Associates LLC

Organization Active NPI Rehabilitation Clinic/Center · Concord, NC

NPI 1033726567 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1033726567
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
Practice address
236 Lephillips Court
Suite a
Concord, NC 28025-1917
Phone
(419) 221-6717
Fax
(419) 222-0507
NPI assigned
Sep 29, 2020
Organization subpart
No

Authorized official

Name
Stephen Krzyminski
Title
Executive Vice President
Phone
(419) 221-6717

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040812000976 NC Part B Supplier - Clinic/Group Practice 7012989684 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, NC; Louisburg, NC; Hendersonville, NC; Harrisburg, NC; Greenville, NC; Dunn, NC; Denver, NC; Concord, NC…
O20201229003206 NC Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012989684 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Concord, NC; Harrisburg, NC

National Provider Directory

Tax ID family
Carolina Physical Therapy Associates LLC (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Yes

Addresses

Primary practice location

236 Lephillips Court
Suite a
Concord, NC 28025-1917

Mailing address

PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717

Other names

  • CORA Physical Therapy - Concord Doing business as

Other providers in Concord, NC

All providers in Concord, NC · Rehabilitation Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.