Organization Active NPI

Wake Forest Performance and Rehab

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1417898180
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Dr. Wayne Carney, PT, DPT, CSCSNPI 1790411809
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.