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

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, MSPT

Title

Managing Member

Phone

(910) 278-6794

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "079CK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William D Carmichael, DDS
• Carolina Comprehensive Health
• Carolina Healthcare Associates Inc
• Carolina Healthcare Associates, Inc.
• 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.