NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc.

Doing business as Firsthealth Center for Rehabilitation - Pembroke

  • Physical Therapy Clinic/Center
  • Pembroke, NC
National Provider Identifier
1457637704
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC.
Doing business as
Firsthealth Center for Rehabilitation - Pembroke
Practice address
923 W 3Rd St
Firsthealth Center of Rehabilitation-Pembroke
Pembroke, NC 28372-9684
Phone
(910) 522-2072
Fax
(910) 522-2074
NPI assigned
Nov 1, 2011
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NC Primary

Addresses

Primary practice location

923 W 3Rd St
Firsthealth Center of Rehabilitation-Pembroke
Pembroke, NC 28372-9684

Mailing address

155 Memorial Dr
Dir-Outpatient/Regional Rehabilitation
Pinehurst, NC 28374-8710
Phone (910) 715-1656

Other names 1

  • FIRSTHEALTH CENTER FOR REHABILITATION - PEMBROKE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031108000016 NC Part B Supplier - Clinic/Group Practice 8820909377 Receives reassigned benefits from 183 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pinehurst, NC; Troy, NC; Sanford, NC; Rockingham, NC; Fayetteville, NC; Pembroke, NC; Raeford, NC

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1457637704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "address_2": "DIR-OUTPATIENT/REGIONAL REHABILITATION",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-1656",
            "fax_number": "910-715-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "address_2": "FIRSTHEALTH CENTER OF REHABILITATION-PEMBROKE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729684",
            "telephone_number": "910-522-2072",
            "fax_number": "910-522-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTHEALTH CENTER FOR REHABILITATION - PEMBROKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.