Active NPI
Wake Orthopaedics, LLC
- Physical Therapy Clinic/Center
- Cary, NC
National Provider Identifier
1407115116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- P13373
- Legal business name
- WAKE ORTHOPAEDICS, LLC
- Practice address
- 212 Ashville Ave
Ste 30
Cary, NC 27518-6669 - Phone
- (919) 235-0616
- Fax
- (919) 235-0610
- NPI assigned
- May 15, 2012
- 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
- Mr. David Pontz
- Title
- Executive Director
- Phone
- (919) 232-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | P13373 | NC | Primary |
Addresses
Primary practice location
212 Ashville Ave
Ste 30
Cary, NC 27518-6669
Mailing address
3009 New Bern Ave
Raleigh, NC 27610-1214
Phone (919) 232-5020
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1467487025
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1134172372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1407115116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101214",
"telephone_number": "919-232-5020",
"fax_number": "919-232-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ASHVILLE AVE",
"address_2": "STE 30",
"city": "CARY",
"state": "NC",
"postal_code": "275186669",
"telephone_number": "919-235-0616",
"fax_number": "919-235-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE ORTHOPAEDICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "PONTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-232-5020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NC",
"license": "P13373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.