WAKE ORTHOPAEDICS, LLC (NPI# 1407115116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407115116 |
| Entity Type | Organization |
| Organization Name | WAKE ORTHOPAEDICS, LLC |
| Practice Address |
212 Ashville Ave Ste 30 Cary NC 27518-6669 |
| Mailing Address |
3009 New Bern Ave Raleigh NC 27610-1214 |
| Practice Telephone | 9192350616 |
| Practice Fax Number | 9192350610 |
| Mailing Telephone | 9192325020 |
| Mailing Fax Number | 9192325021 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | MR. DAVID PONTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192325020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
P13373 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841243540 | Wake Orthopaedics, LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2006-05-17 |
| Street Address |
212 ASHVILLE AVE STE 30 |
| City | CARY |
| State | NC |
| Zip Code | 27518-6669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291695 | Delores C Moore | Internal Medicine | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2005-11-02 |
| 1841559408 | Kelsey D Busche | Physical Therapist | 212 Ashville Ave, Suite 30, Cary, NC 27518-6669 | 2012-05-16 |
| 1548539380 | Wake Specialty Physicians | Durable Medical Equipment & Medical Supplies | 212 Ashville Ave, Suite 30, Cary, NC 27518-6669 | 2011-12-23 |
| 1013297365 | Wake Specialty Physicians, LLC | Clinic/Center | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2011-08-18 |
| 1851552673 | Jennifer Thompson | Family Medicine | 212 Ashville Ave, Cary, NC 27518-6669 | 2008-06-24 |
| 1649490699 | Megan Danekas | Family Medicine | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2007-05-01 |
| 1780710764 | Katherine Elizabeth Bogart | Physician Assistant | 212 Ashville Ave, Suite 10 Accent Urgent Care and After Hours Pediatric, Cary, NC 27511 | 2007-02-26 |
| 1912050444 | Jill B. Shinnick | Physician Assistant | 212 Ashville Ave, Cary, NC 27511-6669 | 2007-01-19 |
| 1801949474 | Theresa Burgess Kubicki | Physician Assistant | 212 Ashville Ave, Cary, NC 27511-6669 | 2007-01-18 |
| 1437258522 | Scott Alan Mcgeary | Pediatrics | 212 Ashville Ave, Suite 10, Cary, NC 27511 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1649805896 | Optimize Physical Therapy | Clinic/Center | 601 Jamerson Rd, Cary, NC 27519-1560 | 2020-03-09 |
| 1174080378 | Movement Physical Therapy LLC | Clinic/Center | 307 Holloway St, Cary, NC 27513-4531 | 2019-02-23 |
| 1306142302 | Physical Therapy Trends | Clinic/Center | 79 Fairfield Ln, Cary, IL 60013-1945 | 2011-02-08 |
| 1710174859 | Hands On Physical Therapy, Inc | Clinic/Center | 590 New Waverly Pl, Suite 220, Cary, NC 27518-7407 | 2007-10-03 |
| 1790797231 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1050 Crescent Green Drive, Cary, NC 27518-8100 | 2006-08-13 |
| 1598767279 | Select Medical Rehabilitation Services, Inc. | Clinic/Center | 300 Kildaire Woods Dr, Cary, NC 27511-7708 | 2005-08-12 |
| 1124506464 | Evolution Physical Therapy and Wellness LLC | Clinic/Center | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-07-30 |
| 1376901009 | Response Physical Therapy | Clinic/Center | 107 Edinburgh Dr, Suite 100a, Cary, NC 27511-6412 | 2016-02-09 |
| 1831562362 | Evoke Physical Therapy and Wellness Center, LLC | Clinic/Center | 201 Davis Grove Circle, Suite 106, Cary, NC 27519 | 2015-11-05 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.