NPIMap

Organization Active NPI

Piedmont Physical Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • High Point, NC
National Provider Identifier
1053042606
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PIEDMONT PHYSICAL MEDICINE PLLC
Practice address
4146 Mendenhall Oaks Pkwy Ste 105
High Point, NC 27265-8416
Phone
(336) 740-9580
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Frenesa Hall, MDNPI 1669421962
Title
Authorized Official
Phone
(336) 740-9580

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4146 Mendenhall Oaks Pkwy Ste 105
High Point, NC 27265-8416

Mailing address

4146 Mendenhall Oaks Pkwy Ste 105
High Point, NC 27265-8416

National Provider Directory

National Provider Directory
Tax ID family
Carolina Pain Relief Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1053042606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 MENDENHALL OAKS PKWY STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 MENDENHALL OAKS PKWY STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658416",
            "telephone_number": "336-740-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "FRENESA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-740-9580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.