NPIMap

Organization Active NPI

Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Concord, NC
National Provider Identifier
1609659192
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PARAGON OUTPATIENT REHABILITATION SERVICES, LLC
Practice address
1195 Drake Mill LN SW
Concord, NC 28025-8561
Phone
(704) 323-8333
NPI assigned
Aug 17, 2023
Organization subpart
Yes
Parent organization
TRILOGY INVESTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Cristina Pietrowski
Title
SVP & Chief Legal Officer
Phone
(502) 412-5847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1195 Drake Mill LN SW
Concord, NC 28025-8561

Mailing address

PO Box 74590
Cleveland, OH 44194-0002
Phone (502) 266-2576

Other practice location 1

2515 Fowler Secrest Rd
Monroe, NC 28110-6947
Phone (704) 323-7889

Other practice location 2

9108 Reames Rd
Charlotte, NC 28216-1824
Phone (980) 895-4420

Other practice location 3

4815 N Sharon Amity Rd
Charlotte, NC 28205-4669
Phone (704) 315-2919

Other practice location 4

4968 Milestone Ave
Kannapolis, NC 28081-4503
Phone (704) 323-8222

Other practice location 5

10830 Lawyers Glen Dr
Mint Hill, NC 28227-0273
Phone (704) 512-0510

Other practice location 6

4025 N Sharon Amity Rd
Charlotte, NC 28205-4975
Phone (704) 869-2721

Other practice location 7

935 Page St
MT Pleasant, NC 28124-9735
Phone (704) 550-3527

Other practice location 8

2040 Milton Rd
Charlotte, NC 28215-3317
Phone (704) 215-4023

Other names 1

  • Synchrony Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paragon Outpatient LLC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1609659192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74590",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940002",
            "telephone_number": "502-266-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 DRAKE MILL LN SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280258561",
            "telephone_number": "704-323-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Fowler Secrest Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281106947",
            "country_code": "US",
            "telephone_number": "704-323-7889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9108 Reames Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282161824",
            "country_code": "US",
            "telephone_number": "980-895-4420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 N Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282054669",
            "country_code": "US",
            "telephone_number": "704-315-2919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4968 Milestone Ave",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280814503",
            "country_code": "US",
            "telephone_number": "704-323-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10830 Lawyers Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282270273",
            "country_code": "US",
            "telephone_number": "704-512-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282054975",
            "country_code": "US",
            "telephone_number": "704-869-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Page St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "NC",
            "postal_code": "281249735",
            "country_code": "US",
            "telephone_number": "704-550-3527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Milton Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282153317",
            "country_code": "US",
            "telephone_number": "704-215-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARAGON OUTPATIENT REHABILITATION SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY INVESTORS, LLC",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "SVP & CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "502-412-5847"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synchrony Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synchrony Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.