Lymphedema Management of Wilmington, P.C.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2183 Issued in NC

Legal business name

LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C.

Practice address

219 Racine Dr
Suite C
Wilmington, NC 28403-8827

Phone

(910) 392-3986

Fax

(910) 392-3986

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Donatone, OTR/L

Title

President

Phone

(910) 392-3986

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ALICIA DONATONE OTR/L P.C. Former legal business name

Locations

Practitioners 1

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

• Stephanie A Jett, LMBT, CLT

  • Massage Therapist
  • Wilmington, NC
  • NPI 1205065851
  NPD (past)

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1437484813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEER COVE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432398",
            "telephone_number": "910-392-3986",
            "fax_number": "910-392-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-392-3986",
            "fax_number": "910-392-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "DONATONE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-392-3986",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301815",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1292T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1639157019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICIA DONATONE OTR/L P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gail Yeremian Lux, FNP
• Luxottica of America Inc. (LensCrafters #850)
• Rachel Luyben
• Laura Lym-Murphy
• Diane L Lyman, COTA/ L
• Ann Harmon Lynch, PA
• Natalie Gordon Lynch, NNP
• Nicole Lynch, O.D.
• Shannon Lee Lynch, APRN, FNP-C
• Lynn Parker Johnson PLLC

• Rehabilitation Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.