NPIMap

Organization Active NPI

Cawh Rehabilitation Services, LLC.

Doing business as Cawh Physical Therapy

  • Physical Therapist
  • Liberty, NC
National Provider Identifier
1649360686
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAWH REHABILITATION SERVICES, LLC.
Doing business as
Cawh Physical Therapy
Practice address
10116 Old Liberty Rd
Liberty, NC 27298-8072
Phone
(336) 622-9641
Fax
(336) 622-9713
NPI assigned
Oct 13, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Mrs. Kim Martin
Title
Billing Supervisor
Phone
(336) 622-9641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NC Primary

Addresses

Primary practice location

10116 Old Liberty Rd
Liberty, NC 27298-8072

Mailing address

10116 Old Liberty Rd
PO Box 486
Liberty, NC 27298-8072
Phone (336) 622-9641

Other identifiers 7

IdentifierTypeStateIssuer
1023023678OtherVANPI VA
193615OtherVAANTHEM
DF0075OtherVAMEDICARE RAILROAD
193617OtherVAANTHEM
0007729125OtherNCAETNA
01954OtherNCBCBS NC
CG1301OtherNCMEDICARE RAILROAD

Other names 1

  • CAWH PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mayo Clinic Florida5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

804 Green Valley Rd
Ste 102
Greensboro, NC 27408
Phone (336) 574-3434

10116 Old Liberty Rd
Liberty, NC 27298
Phone (336) 622-9641

4505 Fair Meadows Ln
Ste 110
Raleigh, NC 27607
Phone (919) 571-9912

4316 Brambleton Ave
Roanoke, VA 24018
Phone (540) 989-1777

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1649360686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 OLD LIBERTY RD",
            "address_2": "PO BOX 486",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272988072",
            "telephone_number": "336-622-9641",
            "fax_number": "336-622-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 OLD LIBERTY RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272988072",
            "telephone_number": "336-622-9641",
            "fax_number": "336-622-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAWH REHABILITATION SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "336-622-9641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI VA",
            "identifier": "1023023678",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "193615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF0075",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "193617",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007729125",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "01954",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG1301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAWH PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.