Provider Demographics
NPI:1578764650
Name:OUTCOME ORIENTED CARE REHABILITATION
Entity Type:Organization
Organization Name:OUTCOME ORIENTED CARE REHABILITATION
Other - Org Name:O.O.C. REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAIRR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-616-4458
Mailing Address - Street 1:3209 MEADOWVISTA CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-9409
Mailing Address - Country:US
Mailing Address - Phone:919-616-4458
Mailing Address - Fax:919-772-6232
Practice Address - Street 1:3209 MEADOWVISTA CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-9409
Practice Address - Country:US
Practice Address - Phone:919-616-4458
Practice Address - Fax:919-772-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7201099Medicaid
NC0214XOtherPT, OT, AND ST