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

Diversified Medical, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1811093693

Diversified Medical, PLLC is a Physical Medicine & Rehabilitation Physician in Davidson, North Carolina. Licensed in Alabama, Florida, Georgia and Illinois and 9 more. Registered with an NPI since 2006.

Licensed in
AL, FL, GA, IL, IN, KY
In the registry since
2006
Specialties on file
13
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

200 N Harbor Pl Suites B/c
Davidson, NC 28036-7918
Phone: (866) 434-8633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (NC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 049747 (GA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 00023727 (AL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD 073346-L (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 237905 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 01061499A (IN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence D0063862 (MD)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence TL28503 (SC)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 33150 (KY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 35 087813 (OH)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0101239263 (VA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence ME 95839 (FL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X (IL)

Record details

NPI number1811093693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Van Ness — Owner/Ceo · (866) 434-8633
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address200 N Harbor Pl, Suites B/C, Davidson, NC 28036-7918

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