Phoenix Rehabilitation Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2789 Issued in NC

Legal business name

PHOENIX REHABILITATION ASSOCIATES, INC.

Practice address

1407 Marblehead CT
Wilmington, NC 28412-2086

Phone

(910) 520-3758

NPI assigned

Apr 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence James Cuba III, MPT, ATPNPI 1073738290

Title

President

Phone

(910) 520-3758

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence James Cuba III, MPT, ATP

  • Physical Therapist
  • Wilmington, NC
  • NPI 1073738290
  Authorized official Same address or phone

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063637288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 MARBLEHEAD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122086",
            "telephone_number": "910-520-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 MARBLEHEAD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122086",
            "telephone_number": "910-520-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUBA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-520-3758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MPT, ATP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne S Phillips, LPC
• Jennifer Marie Phillips, OTRL
• Krystal Phillips
• Sidney Warren Phillips Jr., D.D.S., M.S., P.A.
• Zoie Brianne Phillips, PA-C
• Phoenix Therapy & Wellness, PLLC
• Phyllis B. Cook, DDS, PA
• Phyllis Coulter Everett (Sapient Health Services)
• Physical Therapy for Life
• Physical Therapy for Women, Inc

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.