Organization Active NPI

Spine Rehabilitation and Reeducation Center of North

  • Orthopedic Physical Therapist
  • Durham, NC
National Provider Identifier
1568428340
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9095 Issued in NC
Legal business name
SPINE REHABILITATION AND REEDUCATION CENTER OF NORTH
Doing business as
Southwind Spine Rehabilitation Center
Practice address
2309 Sparger Rd
Pob 2403
Durham, NC 27705-2227
Phone
(919) 382-0082
Fax
(919) 383-9112
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Mr. Michael William Brinkman, MBA
Title
Administrator
Phone
(919) 382-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 9095 NC Primary

Addresses

Primary practice location

2309 Sparger Rd
Pob 2403
Durham, NC 27705-2227

Mailing address

2309 Sparger Rd
Pob 2403
Durham, NC 27705-2227
Phone (919) 382-0082

Other names 1

  • Southwind Spine Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1568428340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SPARGER RD",
            "address_2": "POB 2403",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052227",
            "telephone_number": "919-382-0082",
            "fax_number": "919-383-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SPARGER RD",
            "address_2": "POB 2403",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052227",
            "telephone_number": "919-382-0082",
            "fax_number": "919-383-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHABILITATION AND REEDUCATION CENTER OF NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-382-0082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "9095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwind Spine Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.