SALEM PHYSICAL THERAPY AND SPORTS REHAB NPI 1730555202

Rehabilitation Hospital in Winston Salem, NC

Organization Rehabilitation Hospital

About SALEM PHYSICAL THERAPY AND SPORTS REHAB

Salem Physical Therapy And Sports Rehab is a provider established in Winston Salem, North Carolina specializing in rehabilitation hospital. The NPI number of Salem Physical Therapy And Sports Rehab is 1730555202 and was assigned on August 2015. The practitioner's primary taxonomy code is 283X00000X with license number P8890 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kevin Pyles (Ceo)

NPI

1730555202

Provider NameSALEM PHYSICAL THERAPY AND SPORTS REHAB
Provider Location Address3098 HEALY DR WINSTON SALEM, NC 27103
Provider Mailing Address3098 HEALY DR WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-19-2015
Last Update Date08-19-2015

Primary Taxonomy

Taxonomy Code283X00000X
ClassificationRehabilitation Hospital
TypeHospitals
License No.P8890
License StateNC
Taxonomy DescriptionA hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Business Address

SALEM PHYSICAL THERAPY AND SPORTS REHAB
3098 HEALY DR
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 782-1971
Fax: (336) 448-2004

Get Directions

Mailing Address

SALEM PHYSICAL THERAPY AND SPORTS REHAB
3098 HEALY DR
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 782-1971
Fax: (336) 448-2004

Authorized Official

Authorized Official Name KEVIN PYLES
Authorized Official TitleCEO
Authorized Official Phone(336) 782-1971

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073897831UNITED REHAB SPECIALIST LLC
Organization
Clinic/Center (Physical Therapy)3098 HEALY DR
WINSTON SALEM, NC 27103
(336) 782-1971
1689114340 DAVID MCILWAIN
Individual
Physical Therapist3098 HEALY DR
WINSTON SALEM, NC 27103
(336) 245-8754

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.