Active NPI
Kornegay Physical Therapy and Wellness
- Orthopedic Physical Therapist
- Rolesville, NC
National Provider Identifier
1578384111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- KORNEGAY PHYSICAL THERAPY AND WELLNESS
- Practice address
- 932 Flash Dr
Rolesville, NC 27571-8205 - Phone
- (919) 730-9712
- NPI assigned
- Oct 17, 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
- Dr. Christine Kornegay, PT, DPT
- Title
- Physical Therapist, Owner
- Phone
- (919) 730-9712
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
932 Flash Dr
Rolesville, NC 27571-8205
Mailing address
932 Flash Dr
Rolesville, NC 27571-8205
Phone (919) 730-9712
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 Therapist
- Knightdale, NC
- NPI 1801104518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1578384111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 FLASH DR",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275718205",
"telephone_number": "919-730-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 FLASH DR",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275718205",
"telephone_number": "919-730-9712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORNEGAY PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "KORNEGAY",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
"authorized_official_telephone_number": "919-730-9712",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.