Healthcare Provider Details

I. General information

NPI: 1558926451
Provider Name (Legal Business Name): CAROLINA REHABWORKS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 FAYETTEVILLE ST STE 201
RALEIGH NC
27601-3034
US

IV. Provider business mailing address

555 FAYETTEVILLE ST STE 201
RALEIGH NC
27601-3034
US

V. Phone/Fax

Practice location:
  • Phone: 252-367-1118
  • Fax: 919-375-2309
Mailing address:
  • Phone: 252-367-1153
  • Fax: 919-375-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: APRIL BRIDDELL
Title or Position: DIRECTOR
Credential:
Phone: 252-367-1153