Carolina Manual Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2675 Issued in NC

Legal business name

CAROLINA MANUAL THERAPY LLC

Practice address

618 N Howe St
Southport, NC 28461-3426

Phone

(910) 278-6794

Fax

(910) 278-7694

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By 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

Carolina Ann Candelaria, MSPTNPI 1578761367

Title

Managing Member

Phone

(910) 278-6794

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.

• Carolina Anna Candelaria, MSPT

  • Physical Therapist
  • Southport, NC
  • NPI 1578761367
  Authorized official Same address or phone

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366494551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 42ND ST",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655450",
            "telephone_number": "910-278-6794",
            "fax_number": "910-278-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613426",
            "telephone_number": "910-278-6794",
            "fax_number": "910-278-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MANUAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-278-6794",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D Carmichael, DDS
• Carolina Comprehensive Health
• Carolina Healthcare Associates Inc (Atlantic Urology)
• Carolina Healthcare Associates, Inc. (Cape Fear Heart Associates)
• Carolina Healthcare Products, Inc
• Carolina Strong Physical Therapy, LLC
• Sherrie Gray Cass, FNP-C
• Mesha McKinney Chadwick, MD
• Christopher Ryan Chance
• Karen Harris Chance, NP

• Physical Therapist in Southport, NC
• Providers in Southport, 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 Aug 22, 2020; 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.