NPIMap

Organization Active NPI

Premier Physical Therapy & Sports Rehab, Inc

  • Specialist
  • Raleigh, NC
National Provider Identifier
1992980700
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4124 Issued in NC
Legal business name
PREMIER PHYSICAL THERAPY & SPORTS REHAB, INC
Practice address
5838 Six Forks Rd
Raleigh, NC 27609
Phone
(919) 280-5530
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Mrs. Colleen Carey Karr, PHYSICAL THERAPIST
Title
President/Director of PT
Phone
(919) 280-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4124 NC Primary

Addresses

Primary practice location

5838 Six Forks Rd
Raleigh, NC 27609

Mailing address

5838 Six Forks Rd
Raleigh, NC 27609
Phone (919) 847-1100

Other identifiers 2

IdentifierTypeStateIssuer
785YOtherNCBLUE CROSS BLUE SHIELD
1649369851OtherNCINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1823 NW Maynard Rd
Cary, NC 27513
Phone (919) 342-0900

5838 Six Forks Rd
Raleigh, NC 27609
Phone (919) 847-1100

6060 Six Forks Rd
Ste B
Raleigh, NC 27609
Phone (919) 847-1100

Practitioners & affiliated clinicians

Practitioners 9

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1992980700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-847-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-280-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY & SPORTS REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF  PT",
        "authorized_official_telephone_number": "919-280-5530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "4124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "785Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649369851",
            "state": "NC"
        }
    ],
    "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 Jan 23, 2009; 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.