Provider Demographics
NPI:1326127242
Name:SURESTEPS INC
Entity Type:Organization
Organization Name:SURESTEPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HIELEMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-832-1394
Mailing Address - Street 1:926 WILLIAMSON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2308
Mailing Address - Country:US
Mailing Address - Phone:919-832-1394
Mailing Address - Fax:919-838-0439
Practice Address - Street 1:926 WILLIAMSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2308
Practice Address - Country:US
Practice Address - Phone:919-832-1394
Practice Address - Fax:919-838-0439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9042251G0304X
NC50522251G0304X
NC3212251G0304X
NC0315225X00000X
NC1779225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2333063Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER