Active NPI
Neurorehab Consultants of the Carolinas, LLC
- Physical Medicine & Rehabilitation Physician
- Rock Hill, SC
National Provider Identifier
1548094683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NEUROREHAB CONSULTANTS OF THE CAROLINAS, LLC
- Practice address
- 1795 Dr Frank Gaston Blvd
Rock Hill, SC 29732-1190 - Phone
- (980) 399-4422
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latanya Denise Lofton-Hogue, MD
- Title
- Owner
- Phone
- (501) 940-4517
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1795 Dr Frank Gaston Blvd
Rock Hill, SC 29732-1190
Mailing address
885 Gold Hill Rd # 1002
Fort Mill, SC 29708-7946
Phone (980) 399-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241118000553 | SC | Part B Supplier - Clinic/Group Practice | 4284168923 |
Receives reassigned benefits from 1 practitioner Practice locations: Rock Hill, SC; Fort Mill, SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1558482521
Physical Medicine & Rehabilitation, SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1548094683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 GOLD HILL RD # 1002",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087946",
"telephone_number": "980-399-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 DR FRANK GASTON BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321190",
"telephone_number": "980-399-4422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROREHAB CONSULTANTS OF THE CAROLINAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "LOFTON-HOGUE",
"authorized_official_first_name": "LATANYA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-940-4517",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.