NPIMap

Organization Active NPI

Foundation Health Systems Corp

Doing business as Edwin H. Martinat Outpatient Comprehensive Rehabilitation Ctr -King

  • Physical Therapist
  • King, NC
National Provider Identifier
1053598920
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOUNDATION HEALTH SYSTEMS CORP
Doing business as
Edwin H. Martinat Outpatient Comprehensive Rehabilitation Ctr -King
Practice address
216 Moore Rd
Dba Edwin H. Martinat Outpt Comp Rehab Ctr -King
King, NC 27021-8703
Phone
(336) 719-6165
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNDATION HEALTH SYSTEMS CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Sallye Liner
Title
Exe. VP & Ceo & Admin
Phone
(336) 718-2004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

216 Moore Rd
Dba Edwin H. Martinat Outpt Comp Rehab Ctr -King
King, NC 27021-8703

Mailing address

2000 Frontis Plaza Blvd Ste 102
Novant Medical Group
Winston Salem, NC 27103-5616
Phone (336) 277-2435

Other names 1

  • Edwin H. Martinat Outpatient Comprehensive Rehabilitation Ctr -King Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem MRI Center30 organizations share this tax ID, including this one
Part of
Salem MRI Center

Other organizations with this tax ID 29

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

View all 29

Locations

216 Moore Rd
#H
King, NC 27021
Phone (336) 719-6165

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1053598920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 102",
            "address_2": "NOVANT MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MOORE RD",
            "address_2": "DBA EDWIN H. MARTINAT OUTPT COMP REHAB CTR -KING",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218703",
            "telephone_number": "336-719-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SYSTEMS CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION HEALTH SYSTEMS CORP",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "LINER",
        "authorized_official_first_name": "SALLYE",
        "authorized_official_title_or_position": "EXE. VP & CEO & ADMIN",
        "authorized_official_telephone_number": "336-718-2004"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin H. Martinat Outpatient Comprehensive Rehabilitation Ctr -King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.