| Carolina Rehabilitation Inc | |
|
20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | |
| (910) 755-5861 | |
| (910) 755-5865 |
| Full Name | Carolina Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 20 Medical Campus Dr Nw Ste 104, Supply, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427142561 | NPI | - | NPPES |
| 7211899 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Brittainy R Edwards Kidlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932291010 PECOS PAC ID: 4981645793 Enrollment ID: I20050520000877 |
| Provider Name | Mary F Stoker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295828093 PECOS PAC ID: 8820031479 Enrollment ID: I20050606000554 |
| Provider Name | Scott Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811089915 PECOS PAC ID: 2668415191 Enrollment ID: I20050606001179 |
| Provider Name | Kurt Kildow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558372227 PECOS PAC ID: 9931131992 Enrollment ID: I20080521000379 |
| Provider Name | Shane Matthew Inskeep |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235119231 PECOS PAC ID: 7911038914 Enrollment ID: I20100707000471 |
| Provider Name | Rita M Desimone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144514795 PECOS PAC ID: 7810175254 Enrollment ID: I20151228002058 |
| Provider Name | Vaughn Leigh Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013393115 PECOS PAC ID: 9830493139 Enrollment ID: I20160208000165 |
| Provider Name | Erin Brooke Moss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386053494 PECOS PAC ID: 2466756630 Enrollment ID: I20160209000374 |
| Provider Name | Amanda Rae Gillilan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568894210 PECOS PAC ID: 0446508063 Enrollment ID: I20180730001904 |
| Provider Name | Nikolos W Boehmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174502645 PECOS PAC ID: 9032469283 Enrollment ID: I20180910000358 |
| Provider Name | Samantha Lesley Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629544549 PECOS PAC ID: 9335475813 Enrollment ID: I20190722000612 |
| Provider Name | Benjamin William Seitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992058754 PECOS PAC ID: 5395996383 Enrollment ID: I20200309002268 |
| Provider Name | Christopher Gregory Wesdock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255910600 PECOS PAC ID: 5294121117 Enrollment ID: I20220401000794 |
| Provider Name | Brittany Killian Spears |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932877511 PECOS PAC ID: 7911393293 Enrollment ID: I20220414000075 |
| Provider Name | Rebecca Westveer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720488877 PECOS PAC ID: 5092169946 Enrollment ID: I20230926002037 |
| Provider Name | Ashley Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063236107 PECOS PAC ID: 9537682364 Enrollment ID: I20250402000391 |
| Provider Name | Kira Flegenheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982428025 PECOS PAC ID: 2668991563 Enrollment ID: I20250523000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Rehabilitation Inc 121 Alhambra Plz Ste 1100, Coral Gables, FL 33134-4522 Ph: (502) 609-4872 | Carolina Rehabilitation Inc 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 Ph: (910) 755-5861 |