NPIMap

Organization Active NPI

Big Heart International Trading LLC

Doing business as Rehabmates

  • Physical Therapist
  • Ahoskie, NC
National Provider Identifier
1982279436
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIG HEART INTERNATIONAL TRADING LLC
Doing business as
Rehabmates
Practice address
312 Academy St S # G
Ahoskie, NC 27910-3200
Phone
(252) 578-9078
NPI assigned
May 26, 2021
Last updated
Dec 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Authorized official

Name
Adrian Mosqueda, PTNPI 1780085746
Title
Owner
Phone
(252) 276-2194

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU Primary
Physical Therapy Assistant 225200000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

312 Academy St S # G
Ahoskie, NC 27910-3200

Mailing address

108 Steeplechase Run
Roanoke Rapids, NC 27870-3239
Phone (252) 578-9078

Other identifiers 1

IdentifierTypeStateIssuer
1982279436MedicaidNC

Other names 1

  • Rehabmates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211029000170 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234527904 Receives reassigned benefits from 3 practitioners
Practice locations: Ahoskie, NC

National Provider Directory

National Provider Directory

Locations

312 Academy St S
Ste G
Ahoskie, NC 27910
Phone (252) 276-2194

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638576000000",
    "number": "1982279436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STEEPLECHASE RUN",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703239",
            "telephone_number": "252-578-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S # G",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-578-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HEART INTERNATIONAL TRADING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-12-04",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "MOSQUEDA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-276-2194",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982279436",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabmates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.