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WAKE SPECIALTY PHYSICIANS LLC NPI 1629437710


NPI Information

NPI: 1629437710
Provider Name: WAKE SPECIALTY PHYSICIANS LLC

Doing Business As: WAKEMED PHYSICIAN PRACTICES PHYSICAL THERAPY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10010 FALLS OF NEUSE RD
SUITE 009
RALEIGH, NC
ZIP 27614
Phone: (919) 350-1508
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WAKE SPECIALTY PHYSICIANS LLC is a durable medical equipment medical supplies in Raleigh, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAKE SPECIALTY PHYSICIANS LLC NPI is 1629437710. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wakemed Physician Practices Physical Therapy.

The provider's business location address is:

10010 FALLS OF NEUSE RD
SUITE 009
RALEIGH, NC
ZIP 27614-495
Phone: (919) 350-1508
Fax: (919) 350-1475

The provider's authorized official is Maria Jayoussi .
The authorized official title is Chief Financial Officer and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 5/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12347332MEDICARE PINNORTH CAROLINA
27108950010OTHERNORTH CAROLINADME PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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