Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Concussion & Physical Medicine, PLLC

Organization Rehabilitation Chiropractor · NPI 1124544499

Carolina Concussion & Physical Medicine, PLLC is a Rehabilitation Chiropractor in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

120 Capcom Aveune Ste 104
Wake Forest, NC 27587
Phone: (301) 922-6188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 4670 (NC)

Record details

NPI number1124544499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Decriscio — Member · (301) 922-6188
NPI enumeratedAugust 18, 2017
Last updated in NPPESMay 20, 2018
Mailing address7900 Woodcross Way, Wake Forest, NC 27587-8328