Carolina Physical Therapy Associates LLC
Organization Active NPI Rehabilitation Clinic/Center · Harrisburg, NC
NPI 1316554397 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1316554397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
- Practice address
- 6604 Roberta Rd
Harrisburg, NC 28075-9532 - Phone
- (419) 221-6717
- Fax
- (419) 222-0507
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Stephen Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 14
Member of 1
Practitioners 533
-
Robert Ernest Keck, MS.PT.
-
Haley Noel Bearden, DPT
-
John McConville, DPT
-
Addison T McKeown, DPT
-
Danielle Shea, PT
-
Megan Ferguson, DPT
-
Lisa Kalitka, PT, DPT
-
Lateef Abumoussa, M.D
-
Alix Ackerman, APRN, NP-C
-
Ilya Alishayev, DO
-
Elizabeth Allen, FNP-C
-
Tarini Anand, M.D.
-
Francis C Aniekwensi, M.D.
-
Craig Lincoln Anthony, M.D.
-
Navin Anthony, D.O.
-
Ana M Arango, M.D.
-
Adedayo O Ashana, MD
-
Aysel Atli, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040812000976 | NC | Part B Supplier - Clinic/Group Practice | 7012989684 |
Receives reassigned benefits from 14 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Washington, NC; Louisburg, NC; Hendersonville, NC; Harrisburg, NC; Greenville, NC; Dunn, NC; Denver, NC; Concord, NC… |
| O20201229003206 | NC | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7012989684 |
1 other NPI on this enrollment Practice locations: Concord, NC; Harrisburg, NC |
National Provider Directory
- Tax ID family
- Carolina Physical Therapy Associates LLC
Locations
5476 Apex Peakway
Apex, NC 27502
Phone (919) 626-9799
1129 Weaver Dairy Rd
Chapel Hill, NC 27514
Phone (919) 929-0174
6604 Roberta Rd
Harrisburg, NC 28075
Phone (704) 455-1172
627 E Washington St
Nashville, NC 27856
Phone (252) 443-9103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
6604 Roberta Rd
Harrisburg, NC 28075-9532
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Harrisburg
Other providers in Harrisburg, NC
- Taylor Marie Brown
- Cabarrus Memorial Hospital
- Carillon Assisted Living of Harrisburg
- Glenda Carlton
- Carolina Eye Doctors OD PLLC
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
All providers in Harrisburg, NC · Rehabilitation Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.