CAROLINA SPINE SPECIALISTS PA (NPI# 1518931666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518931666 |
| Entity Type | Organization |
| Organization Name | CAROLINA SPINE SPECIALISTS PA |
| Practice Address |
4030 Wake Forest Rd Suite 102 Raleigh NC 27609 |
| Practice Telephone | 9198730002 |
| Practice Fax Number | 9198730006 |
| Mailing Telephone | 9198730002 |
| Mailing Fax Number | 9198730006 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | GARY LOWELL SMOOT (PHYSICIAN OWNER) |
| Authorized Official Telephone | 9198730002 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 34163 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4030 WAKE FOREST RD SUITE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558817155 | Total Motion Pt, LLC | Physical Therapist | 4030 Wake Forest Rd, Suite 211, Raleigh, NC 27609-0010 | 2016-09-01 |
| 1386004406 | Bianca Renee Hodge | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-03-02 |
| 1932568714 | Crystal Johnson | Developmental Therapist | 4030 Wake Forest Rd, Suite 349, Raleigh, NC 27609-6800 | 2016-02-22 |
| 1720447592 | Aaron Kevin Swain | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-02-22 |
| 1336508498 | Lachea Davis | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-02-17 |
| 1134587207 | Latoya Dianne Thomas | Developmental Therapist | 4030 Wake Forest Rd, Suite 34, Raleigh, NC 27609-6800 | 2016-02-04 |
| 1922464049 | Jessica Saxton | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-01-05 |
| 1790150357 | Helene Singla | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2015-12-08 |
| 1578937082 | Tamara Mombille | Behavioral Analyst | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2015-11-20 |
| 1154795771 | Jordan Waddell | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2015-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1881986255 | Jiyoung Ryu | Physical Medicine & Rehabilitation | 8601 Six Forks Rd, Suite 400, Raleigh, NC 27615-5276 | 2011-05-04 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1043497589 | Phytcare LLC | Physical Medicine & Rehabilitation | 1911 Falls Valley Drive, Suite 100, Raleigh, NC 27615-0000 | 2008-01-28 |
| 1770784191 | Angela Renee Lipscomb-hudson | Physical Medicine & Rehabilitation | 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 | 2007-05-31 |
| 1801914833 | Gunvantray Kirchand Doshi | Physical Medicine & Rehabilitation | 7220 6 Stonecliff Drive, Raleigh, NC 27615 | 2007-03-27 |
| 1912084617 | Aysel Atli | Physical Medicine & Rehabilitation | 8300 Health Park Ste 109, Raleigh, NC 27615 | 2006-11-01 |
| 1164439238 | Scott Steven Sanitate | Physical Medicine & Rehabilitation | 1408 Morningsdale Dr., Raleigh, NC 27609 | 2006-08-02 |
| 1316988140 | Mark Reznik | Physical Medicine & Rehabilitation | 10880 Durant Rd Ste 324, Raleigh, NC 27614-6629 | 2006-06-10 |
| 1891253977 | Michelle Fadool Panzl | Physical Medicine & Rehabilitation | 200 Horizon Dr Ste 115, Raleigh, NC 27615-4947 | 2019-03-07 |
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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.