Organization Active NPI

Rehab Specialists NC, LLC

  • Prosthetic/Orthotic Supplier
  • Wake Forest, NC
National Provider Identifier
1578896395
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CFO02178 Issued in VA
Legal business name
REHAB SPECIALISTS NC, LLC
Practice address
1200 Chilmark Ave
Wake Forest, NC 27587-5335
Phone
(888) 669-7342
Fax
(888) 705-4040
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. James Michael Ray
Title
Vice President
Phone
(888) 669-7342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CFO02178 VA Primary

Addresses

Primary practice location

1200 Chilmark Ave
Wake Forest, NC 27587-5335

Mailing address

PO Box 56548
Virginia Beach, VA 23456-9548
Phone (888) 669-7342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1578896395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56548",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234569548",
            "telephone_number": "888-669-7342",
            "fax_number": "888-705-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILMARK AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875335",
            "telephone_number": "888-669-7342",
            "fax_number": "888-705-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SPECIALISTS NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-669-7342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CFO02178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.