Organization Active NPI

Post-Acute Physicians of North Carolina PLLC

  • Physical Medicine & Rehabilitation Physician
  • Raleigh, NC
National Provider Identifier
1386074201
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2013-01543 Issued in NC
Legal business name
POST-ACUTE PHYSICIANS OF NORTH CAROLINA PLLC
Practice address
3830 Blue Ridge Rd
Raleigh, NC 27612-4319
Phone
(877) 749-7428
Fax
(512) 628-3314
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Jose Vargas, MDNPI 1295874840
Title
Ceo
Phone
(877) 749-7428

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 2013-01543 NC Primary

Addresses

Primary practice location

3830 Blue Ridge Rd
Raleigh, NC 27612-4319

Mailing address

1776 Woodstead CT
Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

616 Wade Ave
Raleigh, NC 27605-1237
Phone (919) 828-6251

Other practice location 2

3643 N Roxboro St Fl 6
Durham, NC 27704-2702
Phone (877) 749-7428

Other practice location 3

5201 Clarks Fork Dr
Raleigh, NC 27616-5868
Phone (877) 749-7428

Other practice location 4

509 W Gannon Ave
Zebulon, NC 27597-2509
Phone (877) 749-7428

Other identifiers 1

IdentifierTypeStateIssuer
1386074201MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304000104 NC Part B Supplier - Clinic/Group Practice 4587894928 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1386074201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124319",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Wade Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051237",
            "country_code": "US",
            "telephone_number": "919-828-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3643 N Roxboro St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042702",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Clarks Fork Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276165868",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 W Gannon Ave",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972509",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POST-ACUTE PHYSICIANS OF NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-749-7428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2013-01543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386074201",
            "state": "NC"
        }
    ],
    "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 Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.