Active NPI
Medrehab Specialists of North Carolina PA
- Physical Medicine & Rehabilitation Physician
- Rock Hill, SC
National Provider Identifier
1366815896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MEDREHAB SPECIALISTS OF NORTH CAROLINA PA
- Practice address
- 1915 Ebenezer Rd
Rock Hill, SC 29732-1013 - Phone
- (704) 626-2505
- Fax
- (704) 626-2505
- NPI assigned
- Nov 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzette Morejon
- Title
- Office Manager
- Phone
- (404) 596-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1915 Ebenezer Rd
Rock Hill, SC 29732-1013
Mailing address
303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401
Phone (704) 626-2505
National Provider Directory
National Provider Directory- Tax ID family
- Medrehab Specialists of North Carolina
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1245653872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1366815896",
"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": "704-626-2505",
"fax_number": "704-626-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321013",
"telephone_number": "704-626-2505",
"fax_number": "704-626-2505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDREHAB SPECIALISTS OF NORTH CAROLINA PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "MOREJON",
"authorized_official_first_name": "SUZETTE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "404-596-5599"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.