MEDICARE: KERNERSVILLE REHAB SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5073	NC
2	225100000X	Physical Therapist	8652	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831157833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KERNERSVILLE REHAB SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	1027 E MOUNTAIN ST # 101
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-7902
Country	:	US
Telephone Number	:	336-996-4980
Fax Number	:	336-996-3521

Provider Business Practice Location Address
First Line	:	1027 E MOUNTAIN ST # 101
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-7902
Country	:	US
Telephone Number	:	336-996-4980
Fax Number	:	336-996-3521

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	TERRY JONES
Credential	:
Telephone Number	:	336-996-4980

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	12/02/2025

Similar Medicare Providers

1730478827 — GUARDIAN PHARMACY OF EASTERN NC, LLC
Practice Location Address:

1029 E MOUNTAIN ST
KERNERSVILLE, NC
27284-7902

Practice Phone: 866-768-8479
Practice Fax: 866-928-3983

1174342133 — CAYCE C NANCE OTR/L
Practice Location Address:

1027 E MOUNTAIN ST # 101
KERNERSVILLE, NC
27284-7902

Practice Phone: 336-996-4980
Practice Fax:

1285447250 — AERYAL C CEASER PT, DPT
Practice Location Address:

1027 E MOUNTAIN ST # 101
KERNERSVILLE, NC
27284-7902

Practice Phone: 336-996-4980
Practice Fax: 336-996-3521

1780558353 — MARY FRANCES STRETCH
Practice Location Address:

1027 E MOUNTAIN ST # 101
KERNERSVILLE, NC
27284-7902

Practice Phone: 336-996-4980
Practice Fax:

1255172862 — MR. MARK HANSEN
Practice Location Address:

291 BROAD ST
KERNERSVILLE, NC
27284-2932

Practice Phone: 336-993-8181
Practice Fax:

1568875086 — MRS. CASSANDRA NAPOLI MURPHY PT, C/NDT
Practice Location Address:

1130D SNOW BRIDGE LN
KERNERSVILLE, NC
27284-8411

Practice Phone: 203-668-7252
Practice Fax:

Directions to “KERNERSVILLE REHAB SPECIALISTS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.