Organization Active NPI

Carolina Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Winston Salem, NC
National Provider Identifier
1386358877
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CAROLINA REHAB CONSULTANTS LLC
Practice address
2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048
Phone
(336) 754-3500
Fax
(336) 754-3895
NPI assigned
Jan 9, 2023
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Patrick CleggNPI 1164985768
Title
Owner
Phone
(336) 298-2017

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 Physician 208100000X Primary

Addresses

Primary practice location

2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048

Mailing address

2509A Lewisville Clemmons Rd # 1006
Clemmons, NC 27012-8712
Phone (336) 298-2017

Other practice location 1

2509A Lewisville Clemmons Rd # 1006
Clemmons, NC 27012-8712
Phone (336) 298-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703002998 NC Part B Supplier - Clinic/Group Practice 2062871403 Receives reassigned benefits from 2 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

2509A Lewisville Clemmons Rd
Ste 1006
Clemmons, NC 27012

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1386358877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509A LEWISVILLE CLEMMONS RD # 1006",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128712",
            "telephone_number": "336-298-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 HILLCREST CENTER CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033048",
            "telephone_number": "336-754-3500",
            "fax_number": "336-754-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509A Lewisville Clemmons Rd # 1006",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128712",
            "country_code": "US",
            "telephone_number": "336-298-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA REHAB CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-298-2017"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.