Organization Active NPI

United Rehab Specialist LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1073897831
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P7421 Issued in NC
Legal business name
UNITED REHAB SPECIALIST LLC
Practice address
3098 Healy Dr
Winston Salem, NC 27103-1432
Phone
(336) 782-1971
Fax
(336) 602-1951
NPI assigned
Sep 28, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mr. Kevin B Pyles, P.T.
Title
Chief Executive Officer
Phone
(336) 782-1971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P7421 NC Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

3098 Healy Dr
Winston Salem, NC 27103-1432

Mailing address

3098 Healy Dr
Winston Salem, NC 27103-1432
Phone (336) 782-1971

National Provider Directory

National Provider Directory

Locations

3098 Healy Dr
Winston Salem, NC 27103
Phone (336) 245-8754

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1073897831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031432",
            "telephone_number": "336-782-1971",
            "fax_number": "336-602-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031432",
            "telephone_number": "336-782-1971",
            "fax_number": "336-602-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "PYLES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-782-1971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P7421",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.