EDEN SPORTS, INC. (NPI# 1902830284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902830284 |
| Entity Type | Organization |
| Organization Name | EDEN SPORTS, INC. |
| Other Organization Name | THERASPORT |
| Practice Address |
4446 Us Highway 220 N Ste A Summerfield Village Summerfield NC 27358-9415 |
| Mailing Address |
665 Philadelphia St Indiana PA 15701-3941 |
| Practice Telephone | 3366437335 |
| Practice Fax Number | 3366437365 |
| Mailing Telephone | 7244653496 |
| Mailing Fax Number | 7244653726 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4694678705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Therasport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467486308 | Eden Sports, Inc. | Clinic/Center | 110 S Park Ter, Eden, NC 27288-5351 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EDEN SPORTS, INC. | 28 Liberty St., New York, Ny 10005 |
| Street Address |
4446 US HIGHWAY 220 N STE A SUMMERFIELD VILLAGE |
| City | SUMMERFIELD |
| State | NC |
| Zip Code | 27358-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154524833 | Amy Foster | Physical Therapist | 4446 Us Highway 220 N Ste A, Summerfield, NC 27358-9415 | 2007-06-08 |
| 1730221052 | Joey Hayes | Physical Therapist | 4446 Us Highway 220 N Ste A, Summerfield, NC 27358-9415 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574827 | Moses Cone Physician Services, Inc. | Family Medicine | 4446 Us Highway 220 North, Suite A, Summerfield, NC 27358 | 2016-09-01 |
| 1639457344 | Kathy M Cornelius | Pharmacist | 4601 Us Hwy 220 N, Summerfield, NC 27358 | 2011-07-29 |
| 1043405459 | Lake Brandt Pharmacy Inc | Pharmacy | 1007 E Hwy 150 West, Summerfield, NC 27358 | 2007-09-10 |
| 1417176421 | Veronica Chavez Tart | Speech-Language Pathologist | 7098 Toscana Trce, Summerfield, NC 27358 | 2007-04-25 |
| 1518069921 | Kay Skow | Physical Therapist | 4446 A Us Hwy 220 North, Summerfield, NC 27358 | 2006-09-05 |
| 1043355639 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2600 Pleasant Ridge Rd, Summerfield, NC 27358-7202 | 2007-02-21 |
| 1396031076 | John Richard White Jr. | Pharmacist | 6900 Bronco Ln, Summerfield, NC 27358-7800 | 2011-06-22 |
| 1073644589 | Michelle Marie Lesperance | Specialist/Technologist | 5401 Broadleaf Rd, Summerfield, NC 27358-7825 | 2007-03-08 |
| 1215158241 | Gregory Scott Barham | Pharmacist | 3325 Annry Dr, Summerfield, NC 27358-7906 | 2007-05-01 |
| 1396941886 | Monica Sparks Benfield | Pharmacist | 1007 Nc Highway 150 W Ste E, Summerfield, NC 27358-7925 | 2007-06-22 |
| Find all providers in zip 27358 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053991 | Move Forward Physical Therapy | Clinic/Center | 7621 Braelands Dr, Summerfield, NC 27358-9363 | 2020-11-02 |
| 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 |
| 1750988861 | Homefront Physical Therapy, LLC | Clinic/Center | 100 Fullard Dr, Sneads Ferry, NC 28460-9530 | 2020-10-02 |
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1093329617 | Begin With Breath, LLC | Clinic/Center | 37 Hampden Rd, Asheville, NC 28805-2421 | 2020-09-01 |
| 1225641020 | Flo Physical Therapy & Performance LLC | Clinic/Center | 13959 Tom Short Rd, Marvin, NC 28173-5300 | 2020-08-31 |
| 1689286122 | 2662 Pursuits LLC | Clinic/Center | 279 Paragon Pkwy, Clyde, NC 28721-8509 | 2020-08-17 |
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERFIELD |
| Zip Code | 27358 |
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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.