CAROLINAS REHABILITATION NORTHEAST PHYSICIAN CLINIC
NPI 1174964621
Physical Medicine & Rehabilitation in Concord, NC

Active since July 12, 2013CLIA 34D2060726 · Waiver
487 LAKE CONCORD RD NE, CONCORD, NC 28025(704) 446-0887 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolinas Rehabilitation Northeast Physician Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINAS REHABILITATION NORTHEAST PHYSICIAN CLINIC (NPI 1174964621) is a healthcare organization registered as a physical medicine & rehabilitation in Concord, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Dennie R Underwood, Vp/operations, Edu & Research, as its authorized official.

NPPES Registry Identity

NPI1174964621
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameCAROLINAS MEDICAL CENTER
Location Address487 LAKE CONCORD RD NEConcord, NC 28025-2934
Mailing AddressPo Box 601372Charlotte, NC 28260-1372 · (704) 446-0887
Organization SubpartYes
Authorized OfficialDennie R UnderwoodVp/operations, Edu & Research · (704) 355-3147
Enumeration DateJuly 12, 2013
NPI 1174964621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
487 LAKE CONCORD RD NE, Concord, NC 28025

Other Names 1

Doing Business AsCarolinas Rehabilitation Northeast Physician Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2060726

Carolinas Rehabilitation Northeast · Concord, NC
Active · expires Jun 16, 2027
CLIA Number34D2060726
Laboratory TypeRehabilitation Facility
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorNicole F. Rup
Laboratory Phone(704) 425-9994
Laboratory LocationCarolinas Rehabilitation Northeast487 Lake Concord Road NE, Concord, NC 28025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Physical Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Physical Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Recreation Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Physical Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Speech-Language Pathologist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Physical Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025
Physical Therapist
487 LAKE CONCORD RD NE
CONCORD, NC 28025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolinas Medical Center's NPI number?

The NPI number for Carolinas Medical Center is 1174964621. It was assigned to this organization in the NPPES registry on July 12, 2013. The provider is doing business as Carolinas Rehabilitation Northeast Physician Clinic.

Where is Carolinas Medical Center located?

Carolinas Medical Center is located at 487 Lake Concord Rd NE, Concord, NC 28025. The listed phone number is (704) 446-0887.

What is Carolinas Medical Center's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Carolinas Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2060726) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolinas Medical Center was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.