Custom Rehabilitation Specialites, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

2055 Issued in DE

Legal business name

CUSTOM REHABILITATION SPECIALITES, INC

Practice address

4308 Maidstone Dr
Wilmington, NC 28405-7455

Phone

(910) 228-9808

Fax

(910) 791-7304

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carl Sidney Thompson

Title

Vice President

Phone

(910) 471-2962

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1467557108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 ANACA POINT RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119501",
            "telephone_number": "910-471-2962",
            "fax_number": "910-791-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 MAIDSTONE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057455",
            "telephone_number": "910-228-9808",
            "fax_number": "910-791-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM REHABILITATION SPECIALITES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-471-2962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701331",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "045NX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Elizabeth Currie, LCSW-A
• Grayson Owen Curtis
• Maeve Cusack, PE
• Michelle Cusick, LCSW
• Custom Hearing Care Inc.
• Adriane M Cuthbert
• Julie Cutler
• CVC Home Medical, Inc.
• CVS Health
• CVS Pharmacy

• Prosthetic/Orthotic Supplier in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.