Proheal NC Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROHEAL NC INC

Practice address

434 N Trade St Ste 203
Matthews, NC 28105-1864

Phone

(704) 345-8507

Fax

(704) 234-7878

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 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

Lauren Kuchno

Title

Office Rep

Phone

(833) 789-3227

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Purvi Samir Shah

  • Physical Therapist
  • Sayreville, NJ
  • NPI 1235400789
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1235715525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 N TRADE ST STE 203",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051864",
            "telephone_number": "704-345-8507",
            "fax_number": "704-234-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N TRADE ST STE 203",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051864",
            "telephone_number": "704-345-8507",
            "fax_number": "704-234-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEAL NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "KUCHNO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "833-789-3227"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Matthews, NC
• Providers in Matthews, 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 Mar 18, 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.