Individual provider Active NPI

Robert A. Volstad, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1891724928
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8983 Issued in NC
Practice address
200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Phone
(919) 875-1932
Fax
(919) 875-1933
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 8983 NC
Physical Therapist 225100000X 8983 NC Primary

Addresses

Primary practice location

200 Horizon Dr Ste 115
Raleigh, NC 27615-4947

Mailing address

200 Horizon Dr Ste 115
Raleigh, NC 27615-4947
Phone (919) 875-1932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000666 NC Practitioner - Physical Therapist in Private Practice 4880633833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Wellness Center, LLCGroup PAC ID 7517908932, 10 clinicians

Practice addresses (Care Compare)

200 Horizon Dr
Suite 115
Raleigh, NC 27615-4947
Phone (919) 875-1932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8983NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Wellness Center, LLC Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

200 Horizon Dr
Ste 115
Raleigh, NC 27615
Phone (919) 875-1932

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1891724928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154947",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLSTAD",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NC",
            "license": "8983",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.