Organization Active NPI

Total Body Rehab, LLC

  • Physical Therapy Clinic/Center
  • Cary, NC
National Provider Identifier
1831224989
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8087 Issued in NC
Legal business name
TOTAL BODY REHAB, LLC
Practice address
1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943
Phone
(919) 297-0280
Fax
(919) 297-0281
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Mrs. Mary Elizabeth Klemm, P.T.
Title
Owner
Phone
(919) 297-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8087 NC Primary

Addresses

Primary practice location

1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943

Mailing address

1210 SE Maynard Rd
Suite 103
Cary, NC 27511-6943
Phone (919) 297-0280

Other identifiers 1

IdentifierTypeStateIssuer
078UIOtherNCBCBS STATE

National Provider Directory

National Provider Directory

Locations

1210 SE Maynard Rd
Ste 103
Cary, NC 27511
Phone (919) 297-0280

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1831224989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SE MAYNARD RD",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116943",
            "telephone_number": "919-297-0280",
            "fax_number": "919-297-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SE MAYNARD RD",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116943",
            "telephone_number": "919-297-0280",
            "fax_number": "919-297-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "KLEMM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-297-0280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "8087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE",
            "identifier": "078UI",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.