NPI 1326474420 · live from the CMS NPI Registry
Activedge Fitness And Sports Performance, INC.
Physical Therapist, Orthopedic in Durham, NC. National Provider Identifier 1326474420, active.
NPI record
| NPI | 1326474420 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Orthopedic 2251X0800X |
| Practice location | 4221 Garrett Rd, Suite 1-2, Durham, NC 27707 |
| Practice phone | 919-493-1204 |
| Enumerated | September 20, 2013 |
| Last updated | September 20, 2013 |
| Authorized official | Brian Diaz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic primary | 2251X0800X | 8453 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.