Organization Active NPI

Roanoke Chowan Rehab Inc

  • Physical Therapy Clinic/Center
  • Ahoskie, NC
National Provider Identifier
1063734507
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1872 Issued in NC
Legal business name
ROANOKE CHOWAN REHAB INC
Practice address
1109 E Memorial Dr
Suite 2
Ahoskie, NC 27910-3919
Phone
(252) 332-6760
Fax
(252) 332-1688
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Mr. Richard N Vick, LPT
Title
Owner/Physical Therapist
Phone
(252) 332-6760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1872 NC Primary

Addresses

Primary practice location

1109 E Memorial Dr
Suite 2
Ahoskie, NC 27910-3919

Mailing address

PO Box 576
Ahoskie, NC 27910-0576
Phone (252) 332-6760

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1063734507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100576",
            "telephone_number": "252-332-6760",
            "fax_number": "252-332-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103919",
            "telephone_number": "252-332-6760",
            "fax_number": "252-332-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE CHOWAN REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "252-332-6760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.