Compleat Rehab & Sports Therapy Center/Glenwood

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COMPLEAT REHAB & SPORTS THERAPY CENTER/GLENWOOD

Doing business as

JORDAN PHYSICAL THERAPY, INC

Practice address

2675 Court Dr
Gastonia, NC 28054-1478

Phone

(704) 824-7800

Fax

(704) 824-7898

NPI assigned

Oct 24, 2012

Organization subpart

Yes

Parent organization

JORDAN PHYSICAL THERAPY, INCAs reported in NPPES

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

Authorized official

Name

Mr. Steve Milan

Title

VP Marketing

Phone

(704) 824-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JORDAN PHYSICAL THERAPY, INC Doing business as

Part of

Jordan Physical Therapy Center

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1184977407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CADDO CROSSING DRIVE",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "71943",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEAT REHAB & SPORTS THERAPY CENTER/GLENWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORDAN PHYSICAL THERAPY, INC",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "MILAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VP MARKETING",
        "authorized_official_telephone_number": "704-824-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156148742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORDAN PHYSICAL THERAPY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compleat Rehab & Sports Therapy Center
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• Comprehab LLC
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• Physical Therapy Clinic/Center in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.