NPIMap

Organization Active NPI

Carolina Pelvic Health Center, Inc.

  • Orthopedic Physical Therapist
  • Raleigh, NC
National Provider Identifier
1053687301
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11677 Issued in NC
Legal business name
CAROLINA PELVIC HEALTH CENTER, INC.
Practice address
3214 Charles B Root Wynd
Suite 101
Raleigh, NC 27612
Phone
(919) 571-9912
Fax
(855) 291-6382
NPI assigned
Mar 30, 2012
Organization subpart
Yes
Parent organization
CAROLINA PELVIC HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. Emily R Wegmann, MPT, OCSNPI 1679572408
Title
President/Physical Therapist
Phone
(919) 571-9912

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X P9450 NC
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 11677 NC Primary

Addresses

Primary practice location

3214 Charles B Root Wynd
Suite 101
Raleigh, NC 27612

Mailing address

3214 Charles B Root Wynd
Suite 101
Raleigh, NC 27612
Phone (919) 571-9912

National Provider Directory

National Provider Directory
Part of
Carolina Pelvic Health Center Inc

Locations

3214 Charles B Root Wynd
#1
Raleigh, NC 27612
Phone (919) 571-9912

3214 Charles B Root Wynd
Ste 101
Raleigh, NC 27612
Phone (919) 571-9912

Practitioners & affiliated clinicians

Practitioners 3

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": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1053687301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-571-9912",
            "fax_number": "855-291-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "919-571-9912",
            "fax_number": "855-291-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PELVIC HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA PELVIC HEALTH CENTER, INC.",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "WEGMANN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-571-9912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9450",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "11677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.