NPIMap

Carolina Physical Therapy Associates LLC

Organization Active NPI Rehabilitation Clinic/Center · Louisburg, NC

NPI 1417499112 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1417499112
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
Practice address
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone
(919) 497-8414
Fax
(919) 497-8478
NPI assigned
Nov 11, 2016
Organization subpart
No

Authorized official

Name
Mr. Stephen Krzyminski
Title
Executive Vice President
Phone
(419) 221-6717

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 47

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

View all 47

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170705001190 NC Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012989684 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisburg, NC; Nashville, NC

National Provider Directory

Tax ID family
Carolina Physical Therapy Associates LLC (15 organizations share this tax ID)

Locations

721 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-5635

2470 Emerald Pl
Ste B
Greenville, NC 27834
Phone (252) 355-6300

1501 N Bickett Blvd
Ste F
Louisburg, NC 27549
Phone (919) 497-8414

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Yes

Addresses

Primary practice location

1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178

Mailing address

PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717

Other names

  • CORA Physical Therapy - Louisburg Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2023.

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1417499112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD",
            "address_2": "SUITE F",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-497-8414",
            "fax_number": "919-497-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Louisburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Physical Therapy - Louisburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisburg, NC

All providers in Louisburg, NC · Rehabilitation Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.