Organization Active NPI

Raleigh Orthopaedic Pharmacy

  • Orthopedic Physical Therapist
  • Raleigh, NC
National Provider Identifier
1497960629
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
RALEIGH ORTHOPAEDIC PHARMACY
Practice address
3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone
(919) 863-6853
Fax
(919) 781-5246
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Brian Scott Bizub
Title
Ceo
Phone
(919) 863-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other names 1

  • Raleigh Orthopaedic Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000258 NC Part B Supplier - Clinic/Group Practice 9032012638 Receives reassigned benefits from 148 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Knightdale, NC; Raleigh, NC; Morrisville, NC; Holly Springs, NC; Clayton, NC; Cary, NC; Garner, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

5028 Arco St
Cary, NC 27519

5035 Arco St
Ste 200
Cary, NC 27519

110 Competition Center Dr
Ste 154
Morrisville, NC 27560
Phone (919) 535-8845

11200 Galleria Ave
#101
Raleigh, NC 27614

11200 Galleria Ave
Ste 100
Raleigh, NC 27614
Phone (919) 570-7500

3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853

Practitioners & affiliated clinicians

Practitioners 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1497960629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-863-6853",
            "fax_number": "919-781-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH ORTHOPAEDIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "BIZUB",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-863-6801"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Orthopaedic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 2023; 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.