NPIMap

Organization Active NPI

Salem Physical Therapy and Sports Rehab

  • Rehabilitation Hospital
  • Winston Salem, NC
National Provider Identifier
1730555202
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
P8890 Issued in NC
Legal business name
SALEM PHYSICAL THERAPY AND SPORTS REHAB
Practice address
3098 Healy Dr
Winston Salem, NC 27103-1432
Phone
(336) 782-1971
Fax
(336) 448-2004
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Kevin PylesNPI 1386772275
Title
Ceo
Phone
(336) 782-1971

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)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X P8890 NC Primary

Addresses

Primary practice location

3098 Healy Dr
Winston Salem, NC 27103-1432

Mailing address

3098 Healy Dr
Winston Salem, NC 27103-1432
Phone (336) 782-1971

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1730555202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031432",
            "telephone_number": "336-782-1971",
            "fax_number": "336-448-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031432",
            "telephone_number": "336-782-1971",
            "fax_number": "336-448-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "PYLES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-782-1971"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NC",
            "license": "P8890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.