Active NPI
Wake Forest Performance and Rehab
- Physical Therapist
- Wake Forest, NC
National Provider Identifier
1417898180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WAKE FOREST PERFORMANCE AND REHAB
- Practice address
- 533 Young Forest Dr
Wake Forest, NC 27587-7176 - Phone
- (561) 951-5203
- NPI assigned
- Apr 4, 2026
- Last updated
- Apr 4, 2026
- 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
- Dr. Wayne Carney, PT, DPT, CSCS
- Title
- Owner
- Phone
- (561) 951-5203
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
533 Young Forest Dr
Wake Forest, NC 27587-7176
Mailing address
533 Young Forest Dr
Wake Forest, NC 27587-7176
Phone (561) 951-5203
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Raleigh, NC
- NPI 1790411809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775260800000",
"number": "1417898180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 YOUNG FOREST DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877176",
"telephone_number": "561-951-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 YOUNG FOREST DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877176",
"telephone_number": "561-951-5203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE FOREST PERFORMANCE AND REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-04",
"last_updated": "2026-04-04",
"certification_date": "2026-04-04",
"status": "A",
"authorized_official_last_name": "CARNEY",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-951-5203",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, CSCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- Wake Forest Family Eye Care, O.D., P.a.
- Wake Forest Internal Medicine and Primary Care
- Wake Forest Optometry PA (Eye Care Center)
- Wake Forest Peace of Mind, PLLC
- Wake Forest Pediatric Associates, PLLC
- Wake Forest Physical Therapy (Elite Ortho Physical Therapy)
- Wake Forest Speech Therapy
- Wake Forest Urgent Care, PLLC
- Wake Heart and Vascular Associates P.a.
- Wake Skin Cancer Center, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.