S.T.A.C.K. PHYSICAL THERAPY & CORRECTIVE EXERCISE, INCORPORATED (NPI# 1912190174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912190174 |
| Entity Type | Organization |
| Organization Name | S.T.A.C.K. PHYSICAL THERAPY & CORRECTIVE EXERCISE, INCORPORATED |
| Practice Address |
1640 Eva Mae Dr Raleigh NC 27610-4443 |
| Practice Telephone | 8003620903 |
| Practice Fax Number | 8664345096 |
| Mailing Telephone | 8003620903 |
| Mailing Fax Number | 8664345096 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | KENNETH P. STACK (PRESIDENT) |
| Authorized Official Telephone | 18003620903 |
| Authorized Official Credential | M.S.,P.T.,C.S.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
8899 | NC | Ambulatory Health Care Facilities |
| Street Address |
1640 EVA MAE DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821252792 | Arder 'scott' Campbell | Physical Therapist | 1640 Eva Mae Dr, Raleigh, NC 27610-4443 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| 1447733878 | Swarajchand Corp | Clinic/Center | 8320 Litchford Rd Ste 140, Raleigh, NC 27615-3860 | 2018-09-12 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1073069035 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 8700 Walkelin Ct, Raleigh, NC 27615-4147 | 2016-08-30 |
| 1659731214 | Agilitas Usa, Inc | Clinic/Center | 815 Oberlin Rd # 302, Raleigh, NC 27605-1300 | 2016-02-25 |
| 1336508688 | Optimum Mobile Rehabilitation L.L.C. | Clinic/Center | 150 Saint Mellion St, Raleigh, NC 27603-4175 | 2016-02-15 |
| 1437524600 | Agilitas Usa Inc | Clinic/Center | 11201 Galleria Ave # 105, Raleigh, NC 27614-8137 | 2015-12-14 |
| 1235528985 | Xcel Rehabilitation Services | Clinic/Center | 12528 Honeychurch St, Raleigh, NC 27614-8482 | 2015-01-19 |
| 1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on S.T.A.C.K. PHYSICAL THERAPY & CORRECTIVE EXERCISE, INCORPORATED.
| 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.