Provider Demographics
NPI: | 1265014849 |
---|---|
Name: | REHAB MEDICINE OF THE CAROLINAS PLLC |
Entity Type: | Organization |
Organization Name: | REHAB MEDICINE OF THE CAROLINAS PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ADRIENNE |
Authorized Official - Middle Name: | ROBBINS |
Authorized Official - Last Name: | HILL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DO |
Authorized Official - Phone: | 336-986-9537 |
Mailing Address - Street 1: | 2554 LEWISVILLE CLEMMONS RD STE 201 |
Mailing Address - Street 2: | |
Mailing Address - City: | CLEMMONS |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27012-8749 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 336-986-9537 |
Mailing Address - Fax: | 804-203-7002 |
Practice Address - Street 1: | 2554 LEWISVILLE CLEMMONS RD STE 201 |
Practice Address - Street 2: | |
Practice Address - City: | CLEMMONS |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27012-8749 |
Practice Address - Country: | US |
Practice Address - Phone: | 336-986-9537 |
Practice Address - Fax: | 804-203-7002 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-04-23 |
Last Update Date: | 2024-03-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Single Specialty | |
No | 204R00000X | Allopathic & Osteopathic Physicians | Electrodiagnostic Medicine | Group - Multi-Specialty | |
No | 224ZF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Group - Multi-Specialty |