| Rww Outpatient Rehab Services, Llc | |
|
4008 Mendenhall Oaks Pkwy Ste 101, High Point, NC 27265-8302 | |
| (336) 483-6313 | |
| Not Available |
| Full Name | Rww Outpatient Rehab Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 4008 Mendenhall Oaks Pkwy Ste 101, High Point, 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 |
|---|---|---|---|
| 1033729223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael Gagliano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366682684 PECOS PAC ID: 2860806981 Enrollment ID: I20210202000984 |
| Provider Name | Candice Harrell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538566922 PECOS PAC ID: 6204204118 Enrollment ID: I20221128001620 |
| Provider Name | Audra Faucette Potter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578849543 PECOS PAC ID: 9032584826 Enrollment ID: I20230410000832 |
| Provider Name | Emily Parcell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689336091 PECOS PAC ID: 7810362225 Enrollment ID: I20230417000583 |
| Provider Name | Somarna Pekala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174768246 PECOS PAC ID: 5193182699 Enrollment ID: I20230526001202 |
| Provider Name | Tawnie Vair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811752165 PECOS PAC ID: 9032556105 Enrollment ID: I20240325002855 |
| Provider Name | Angela Chilton Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184443061 PECOS PAC ID: 8224563705 Enrollment ID: I20241120002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Rww Outpatient Rehab Services, Llc 805 N Whittington Pkwy, Louisville, KY 40222-7101 Ph: () - | Rww Outpatient Rehab Services, Llc 4008 Mendenhall Oaks Pkwy Ste 101, High Point, NC 27265-8302 Ph: (336) 483-6313 |