Organization Active NPI

Summit Rehab Solutions

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1427030998
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
A243442 Issued in NC
Legal business name
SUMMIT REHAB SOLUTIONS
Practice address
3201 Wellington CT
Suite 107
Raleigh, NC 27615-5494
Phone
(919) 850-0144
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mr. Michael Edward Driscoll
Title
President
Phone
(919) 850-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A243442 NC Primary

Addresses

Primary practice location

3201 Wellington CT
Suite 107
Raleigh, NC 27615-5494

Mailing address

PO Box 58157
Raleigh, NC 27658-8157
Phone (919) 850-0144

Other identifiers 2

IdentifierTypeStateIssuer
7703382MedicaidNC
045TCOtherNCBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

3201 Wellington Ct
Ste 107
Raleigh, NC 27615
Phone (919) 850-0144

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1427030998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58157",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276588157",
            "telephone_number": "919-850-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WELLINGTON CT",
            "address_2": "SUITE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155494",
            "telephone_number": "919-850-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-850-0144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "A243442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703382",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "045TC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.