Individual provider Active NPI

Cliff Wolosiansky, PT, DPT

  • Physical Therapist
  • Rocky Mount, NC
National Provider Identifier
1750767430
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15696 Issued in NC
Practice address
2415 Professional Dr
Rocky Mount, NC 27804-2254
Phone
(252) 443-9103
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15696 NC Primary

Addresses

Primary practice location

2415 Professional Dr
Rocky Mount, NC 27804-2254

Mailing address

2415 Professional Dr
Rocky Mount, NC 27804-2254
Phone (252) 443-9103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15696NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Metrics, LLC Physical Therapist Past Accepting new patients
Carolina Physical Therapy Associates LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1750767430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PROFESSIONAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042254",
            "telephone_number": "252-443-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PROFESSIONAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042254",
            "telephone_number": "252-443-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSIANSKY",
        "first_name": "CLIFF",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.