Organization Active NPI

Medrehab Specialists of North Carolina, PA

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1245653872
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2013-02202 Issued in NC
Legal business name
MEDREHAB SPECIALISTS OF NORTH CAROLINA, PA
Practice address
6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252
Phone
(704) 626-2505
NPI assigned
Feb 3, 2014
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Alberto Morejon, M.D.NPI 1942454871
Title
Owner
Phone
(704) 626-2505

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 Medicine & Rehabilitation Physician 208100000X 2013-02202 NC Primary

Addresses

Primary practice location

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252

Mailing address

303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401
Phone (404) 596-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140329000070 NC Part B Supplier - Clinic/Group Practice 7911138268 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC; Raleigh, NC
O20151119001593 SC Part B Supplier - Clinic/Group Practice 7911138268 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory
Tax ID family
Medrehab Specialists of North Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8601 Six Forks Rd
Raleigh, NC 27615
Phone (877) 513-7274

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1245653872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463401",
            "telephone_number": "404-596-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD STE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102252",
            "telephone_number": "704-626-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDREHAB SPECIALISTS OF NORTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-626-2505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2013-02202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.