Organization Active NPI

Medrehab Specialists of North Carolina PA

  • Physical Medicine & Rehabilitation Physician
  • Rock Hill, SC
National Provider Identifier
1366815896
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jul 2, 2019

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.