Carolina Wound Care and Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P8176 Issued in NC

Legal business name

CAROLINA WOUND CARE AND PHYSICAL THERAPY

Doing business as

Carolina Wound Therapy

Practice address

425 W 24TH St
Winston Salem, NC 27105-5035

Phone

(336) 707-7257

Fax

(336) 788-1145

NPI assigned

Jul 15, 2012

Last updated

Dec 4, 2016By 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

India Reid Reynolds, PT, CWS, CPC

Title

Owner, President

Phone

(336) 788-1119

Specialties & licenses 2

Addresses

Other names 1

• CAROLINA WOUND THERAPY Doing business as

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480809600000",
    "number": "1245585371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 24TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055035",
            "telephone_number": "336-707-7257",
            "fax_number": "336-788-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 24TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055035",
            "telephone_number": "336-707-7257",
            "fax_number": "336-788-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WOUND CARE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-15",
        "last_updated": "2016-12-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "INDIA",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "336-788-1119",
        "authorized_official_credential": "PT, CWS, CPC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "P8176",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P8176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA WOUND THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Psychology Group, PLLC
• Carolina Rehab Consultants LLC
• Carolina Rehabilitation Specialist, Inc
• Carolina Spinal Care & Laser Therapy Center PC
• Carolina Urological Associates, P.a.
• Carolinas Fertility Institute, P.a.
• Carolinas Home Health, LLC
• Carolinas Medical Center at Home LLC (Atrium Health At Home HME Winston-Salem)
• Carolinas Pain Institute, PA
• Carolinas Pain Institute, PA

• Physical Therapy Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, 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 Dec 4, 2016; 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.