Wake Lymphedema and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WAKE LYMPHEDEMA AND WELLNESS

Practice address

5713 Enoree LN
Raleigh, NC 27616-5773

Phone

(330) 760-4375

NPI assigned

May 2, 2021

Last updated

May 2, 2021By 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

Colleen M Cox, DPT

Title

Managing Member/Owner

Phone

(330) 760-4375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1174106793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 ENOREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165773",
            "telephone_number": "330-760-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 ENOREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165773",
            "telephone_number": "330-760-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE LYMPHEDEMA AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "330-760-4375",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Heart and Vascular Associates P.a.
• Wake Heart and Vascular Associates P.a.
• Wake Heart and Vascular Associates P.a.
• Wake Home Care, LLC
• Wake Internal Medicine Consultants, Inc.
• Wake Med
• Wake Medical Associates, P.a.
• Wake Medical Laboratory Consultants Inc
• Wake Medical Supply LLC
• Wake Nephrology Associates, P.a.

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, 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 May 2, 2021; 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.