Carolina Prime Physical Therapy

LBN: Carolina Prime Physical Therapy
Carolina Prime Physical Therapy is an health care organization with primary practice located at 200 W Park Cir Ste A , North Wilkesboro NC 28659-3583. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Carolina Prime Physical Therapy can be contacted via phone (336) 818-2700, or through Forrest, Scott via phone (336) 990-1028.

Contact Information

Primary practice address
200 W Park Cir Ste A North Wilkesboro NC 28659-3583
Phone: (336) 818-2700
Fax: (336) 450-1700
Website:
Map and Directions
Authorized official contact:
Name: Forrest, Scott PT COMT
Phone: (336) 990-1028

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X P10047 North Carolina
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 8609 North Carolina
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X P10047 North Carolina

Profile Details

NPI number 1902392418
LBN Legal business name Carolina Prime Physical Therapy
DBA Doing business as
Authorized official Forrest, Scott PT COMT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2018
Last updated Aug 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902392418 NPPES
North Carolina MEDICAID 1366689374
North Carolina MEDICAID 1770944886

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