Organization Active NPI

RWW Outpatient Rehab Services, LLC

  • Clinic/Center
  • High Point, NC
National Provider Identifier
1033729223
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RWW OUTPATIENT REHAB SERVICES, LLC
Practice address
4008 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8302
Phone
(336) 483-6313
NPI assigned
Aug 3, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Heather Wilson
Title
National Credentialing Manager
Phone
(502) 272-3463

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 12

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

Member of 1

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

Practitioners 115

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

View all 115

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200922000935 NC Part B Supplier - Clinic/Group Practice 8729333521 Receives reassigned benefits from 7 practitioners
Practice locations: High Point, NC

National Provider Directory

National Provider Directory
Tax ID family
RWW Outpatient LLC (13 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4008 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8302

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2022.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1033729223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 MENDENHALL OAKS PKWY STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658302",
            "telephone_number": "336-483-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWW OUTPATIENT REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "NATIONAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-272-3463"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.