Advanced Physical Medicine

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED PHYSICAL MEDICINE

Practice address

8821 University East Dr Ste 120
Charlotte, NC 28213-4364

Phone

(704) 428-9006

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Johana Perez

Title

Patient Representative

Phone

(704) 428-9006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1912596453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 UNIVERSITY EAST DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134364",
            "telephone_number": "704-428-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 UNIVERSITY EAST DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134364",
            "telephone_number": "704-428-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOHANA",
        "authorized_official_title_or_position": "PATIENT REPRESENTATIVE",
        "authorized_official_telephone_number": "704-428-9006"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Chiropractic Clinic, PLLC
• Advanced Home Care, Inc.
• Advanced Medical Diagnostics LLC
• Advanced Mobile Wound Care of the Carolinas PLLC
• Advanced Physical Medicine
• Advanced Practice Care, Inc
• Advanced Prosthetics of Easley, Inc
• Advanced Reproductive Concepts, PLLC
• Advanced Sports & Spine, PLLC
• Advanced Therapy Services, LLC

• All providers in Charlotte, NC
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.