NPIMap

Organization Active NPI

Abilitations Children's Therapy & Wellness Center

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1356510945
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ABILITATIONS CHILDREN'S THERAPY & WELLNESS CENTER
Practice address
11030 Raven Ridge Rd
Suite 101
Raleigh, NC 27614
Phone
(919) 345-6973
NPI assigned
Feb 27, 2008
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Jennifer MockNPI 1801951793
Title
Office Manager
Phone
(919) 844-6611

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

11030 Raven Ridge Rd
Suite 101
Raleigh, NC 27614

Mailing address

11030 Raven Ridge Rd
Suite 101
Raleigh, NC 27614-8511
Phone (919) 844-6611

National Provider Directory

National Provider Directory

Locations

11030 Raven Ridge Rd
Ste 101
Raleigh, NC 27614
Phone (919) 345-6973

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1356510945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 RAVEN RIDGE RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148511",
            "telephone_number": "919-844-6611",
            "fax_number": "919-844-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RAVEN RIDGE RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-345-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITATIONS CHILDREN'S THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-844-6611"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.