Organization Active NPI

Sandhills Rehabilitation and Wellness Center, Inc

  • Physical Therapist
  • Southern Pines, NC
National Provider Identifier
1184804569
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9202 Issued in NC
Legal business name
SANDHILLS REHABILITATION AND WELLNESS CENTER, INC
Practice address
239 W Pennsylvania Ave
Southern Pines, NC 28387-5430
Phone
(910) 692-3000
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. Anthony Acuna Reyes IINPI 1447498480
Title
Practice Administrator
Phone
(910) 695-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 9202 NC Primary

Addresses

Primary practice location

239 W Pennsylvania Ave
Southern Pines, NC 28387-5430

Mailing address

239 W Pennsylvania Ave
Southern Pines, NC 28387-5430
Phone (910) 692-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000482 NC Part B Supplier - Clinic/Group Practice 8123116373 Receives reassigned benefits from 1 practitioner
Practice locations: Southern Pines, NC

National Provider Directory

National Provider Directory

Locations

239 W Pennsylvania Ave
Southern Pines, NC 28387
Phone (910) 638-5571

114 N Bennett St
Southern Pnes, NC 28387
Phone (910) 695-3000

Practitioners & affiliated clinicians

Practitioners 4

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1184804569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W PENNSYLVANIA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875430",
            "telephone_number": "910-692-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W PENNSYLVANIA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875430",
            "telephone_number": "910-692-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS REHABILITATION AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ACUNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-695-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.