Organization Active NPI

Comprehensive Rehabilitation of the Carolinas, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Matthews, NC
National Provider Identifier
1881647006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COMPREHENSIVE REHABILITATION OF THE CAROLINAS, PLLC
Practice address
600 Fullwood Rd
Matthews, NC 28105-2659
Phone
(704) 942-5872
Fax
(866) 227-0449
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Akiko Omura, MDNPI 1437108610
Title
Owner
Phone
(704) 942-5872

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

600 Fullwood Rd
Matthews, NC 28105-2659

Mailing address

PO Box 38176
Charlotte, NC 28278-1002
Phone (704) 942-5872

National Provider Directory

National Provider Directory

Locations

8310 Medical Plaza Dr
Ste C
Charlotte, NC 28262
Phone (704) 510-1300

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881647006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38176",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282781002",
            "telephone_number": "704-942-5872",
            "fax_number": "866-227-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FULLWOOD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052659",
            "telephone_number": "704-942-5872",
            "fax_number": "866-227-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE REHABILITATION OF THE CAROLINAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMURA",
        "authorized_official_first_name": "AKIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-942-5872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.