ACTIVCARE PHYSICAL THERAPY, LLC (NPI# 1356942981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356942981 |
| Entity Type | Organization |
| Organization Name | ACTIVCARE PHYSICAL THERAPY, LLC |
| Practice Address |
1009 Stadium Dr Ste 124 Wake Forest NC 27587-4687 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 9194535910 |
| Practice Fax Number | 9193220041 |
| Mailing Telephone | 9192582714 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | PENNY PEARSON (RCM DIRECTOR) |
| Authorized Official Telephone | 4432254492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Pivot Physical Therapy of the Carolinas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548409626 | Activcare Physical Therapy, LLC | Physical Therapist | 3708 Forestview Rd Ste 101, Raleigh, NC 27612-2391 | 2009-02-12 |
| Street Address |
1009 STADIUM DR STE 124 |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931915 | Madelon Hoppe | Physical Therapist | 1009 Stadium Dr Ste 124, Wake Forest, NC 27587-4673 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977250 | Cecelia Rabil | Occupational Therapist | 620 Dr Calvin Jones Hwy Ste 200, Wake Forest, NC 27587-3100 | 2020-03-23 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1063926640 | Stephanie Nicole Biggs Ayers | Occupational Therapist | 701 Tree Green Ln, Wake Forest, NC 27587-5697 | 2017-11-19 |
| 1922519313 | Jenna S Sarett | Occupational Therapist | 900 S Franklin St Ste 201, Wake Forest, NC 27587-2799 | 2017-10-12 |
| 1124579156 | Angela Moore | Occupational Therapist | 7204 Donneeford Rd, Wake Forest, NC 27587-8026 | 2016-10-14 |
| 1558780387 | Shelby Carter | Occupational Therapist | 1016 Blykeford Ln, Wake Forest, NC 27587-8035 | 2014-04-09 |
| 1891033692 | Nancy E King | Occupational Therapist | 905 Horsetrail Way, Wake Forest, NC 27587-4604 | 2013-01-29 |
| 1649537382 | Jacqueline Allotey | Occupational Therapist | 1151 S. Main St. Apt. 303, Legacy Healthcare, Wake Forest, NC 27587 | 2012-04-19 |
| 1376853093 | Marrin Sasha Rothstein | Occupational Therapist | 900 S Franklin Street, Suite 201, Wake Forest, NC 27587-2797 | 2010-10-15 |
| 1588838270 | Kimberly Jo Lampe | Occupational Therapist | 1151 S Main St, Apt #303, Wake Forest, NC 27587-9646 | 2008-04-15 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
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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.