NPIMap

Organization Active NPI

The Moses H Cone Memorial Hospital Operating Corporation

Doing business as Cone Health Outpatient Rehabilitation at Medcenter Kernersville

  • Physical Therapy Clinic/Center
  • Kernersville, NC
National Provider Identifier
1467893776
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Doing business as
Cone Health Outpatient Rehabilitation at Medcenter Kernersville
Practice address
1635 NC Highway 66 S
Suite 255
Kernersville, NC 27284-3854
Phone
(336) 992-4820
Fax
(336) 992-4821
NPI assigned
Jul 15, 2013
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Jeffrey F Jones
Title
Cfo
Phone
(336) 832-8005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

1635 NC Highway 66 S
Suite 255
Kernersville, NC 27284-3854

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Other names 1

  • CONE HEALTH OUTPATIENT REHABILITATION AT MEDCENTER KERNERSVILLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140128001337 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4587612445 Practice locations: Kernersville, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Mem Hosp39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Practitioners & affiliated clinicians

Practitioners 8

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": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1467893776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7000",
            "fax_number": "336-832-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S",
            "address_2": "SUITE 255",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843854",
            "telephone_number": "336-992-4820",
            "fax_number": "336-992-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-832-8005"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONE HEALTH OUTPATIENT REHABILITATION AT MEDCENTER KERNERSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.