Valley Physical Medicine PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VALLEY PHYSICAL MEDICINE PA

Practice address

3706 Morganton Rd
Fayetteville, NC 28303-4963

Phone

(910) 867-5500

Fax

(910) 867-4120

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Brandt Wood, DONPI 1275573453

Title

Owner

Phone

(910) 867-5500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Culliton, D.C.

  • Chiropractor
  • Fayetteville, NC
  • NPI 1053409649
  Medicare reassignment Care Compare group NPD
• Brandt Thomas Wood, D.O.

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1275573453

  General Practice

  Medicare reassignment NPD Authorized official
• Dawn Ruminski, D.O.

  • General Practice Physician
  • Fort Rucker, AL
  • NPI 1710120316

  NC

  Medicare reassignment Care Compare group NPD
• Domenico Mancini Jr., DC

  • Chiropractor
  • West Paterson, NJ
  • NPI 1730288820

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1629428883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034963",
            "telephone_number": "910-867-5500",
            "fax_number": "910-867-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034963",
            "telephone_number": "910-867-5500",
            "fax_number": "910-867-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BRANDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-867-5500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Equipment & Medical Supplies
• Valley Eye Clinic, PLLC
• Valley Infectious Disease Care
• Valley Internal Medicine, Inc.
• Valley Medical Supplies, Inc
• Valley Physical Medicine, PLLC
• Valley Pines Adult Care
• Valley Radiology P a
• Valleygate Anesthesia
• Valleygate Dental Surgery Center of Fayetteville, LLC

• General Practice Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.

Verify at the official NPI Registry.