NPIMap

Organization Active NPI

Carolina Complete Rehab Center of Hope Mills Inc

  • Physical Therapist
  • Hope Mills, NC
National Provider Identifier
1144270372
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAROLINA COMPLETE REHAB CENTER OF HOPE MILLS INC
Practice address
4251 Legion Rd
Ste 107
Hope Mills, NC 28348-6201
Phone
(910) 429-0600
Fax
(910) 429-0602
NPI assigned
May 10, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Ms. Tracey N LaurelesNPI 1134161599
Title
President
Phone
(910) 429-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

4251 Legion Rd
Ste 107
Hope Mills, NC 28348-6201

Mailing address

4251 Legion Rd Ste 107
P.O. Box 408
Hope Mills, NC 28348-6200
Phone (910) 429-0600

Other identifiers 4

IdentifierTypeStateIssuer
012EWOtherNCBCBS
7211570MedicaidNC
015UTOtherNCBCBS
7211284MedicaidNC

National Provider Directory

National Provider Directory

Locations

211 Tallywood Shopping Ctr
Fayetteville, NC 28303
Phone (910) 484-9663

3013C Raeford Rd
Fayetteville, NC 28303
Phone (910) 484-9663

3622A N Main St
Hope Mills, NC 28348
Phone (910) 429-0600

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1144270372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LEGION RD STE 107",
            "address_2": "P.O. BOX 408",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283486200",
            "telephone_number": "910-429-0600",
            "fax_number": "910-429-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 LEGION RD",
            "address_2": "STE 107",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283486201",
            "telephone_number": "910-429-0600",
            "fax_number": "910-429-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPLETE REHAB CENTER OF HOPE MILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "LAURELES",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-429-0600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012EW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211570",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "015UT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211284",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.