OrganizationActive
Carolina Physical Medicine & Rehabilitation, PC
NPI 1588755946 · General Practice Physician · Gastonia, NC
Provider details
- NPI number
- 1588755946
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Wallace, Owner(704) 869-6699
- License
- 23802 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1307 Union Rd
Suite 105
Gastonia, NC 28054-5562
Phone: (704) 869-6699
Fax: (704) 861-1996
Street-level locationGet directions
Mailing address
1307 Union Rd
Gastonia, NC 28054-5562
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2009-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.