Active NPI
Sundance Rehabilitation Agency, Inc.
- Rehabilitation Clinic/Center
- Salisbury, NC
National Provider Identifier
1124073101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- N/A
- Legal business name
- SUNDANCE REHABILITATION AGENCY, INC.
- Practice address
- 728 Klumac Rd
Salisbury, NC 28144-5720 - Phone
- (704) 797-9857
- Fax
- (704) 636-7286
- NPI assigned
- May 24, 2006
- Organization subpart
- Yes
- Parent organization
- SUNDANCE REHABILITATION CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel A Hirschfeld
- Title
- Executive VP
- Phone
- (610) 925-4025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | N/A | Primary |
Addresses
Primary practice location
728 Klumac Rd
Salisbury, NC 28144-5720
Mailing address
6549 Paysphere Cir
Chicago, IL 60674-0065
Phone (800) 815-8577
Other names 1
- SunDance Raleigh Rehabilitation Agency
National Provider Directory
National Provider Directory- Part of
- Sundance Rehab Corp
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Savannah, GA
- NPI 1376969410
Member Of
Locations
6549 Paysphere Cir
Chicago, IL 60674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1124073101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740065",
"telephone_number": "800-815-8577",
"fax_number": "505-468-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 KLUMAC RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281445720",
"telephone_number": "704-797-9857",
"fax_number": "704-636-7286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDANCE REHABILITATION AGENCY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNDANCE REHABILITATION CORPORATION",
"enumeration_date": "2006-05-24",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "HIRSCHFELD",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "610-925-4025",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SunDance Raleigh Rehabilitation Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.