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NPI 1376215764 · live from the CMS NPI Registry

Activcare Physical Therapy, LLC

Occupational Therapist in Raleigh, NC. National Provider Identifier 1376215764, active.

NPI record

NPI1376215764 Type 2 · organization
StatusActive
Primary specialtyOccupational Therapist 225X00000X
Practice location11009 Ingleside Place, Suite 102, Raleigh, NC 27614
Practice phone919-752-5943
Mailing address350 New Fidelity Ct, Garner, NC 27529
EnumeratedOctober 4, 2021
Last updatedOctober 4, 2021
Authorized officialLisa Parent, Sr Vice President Of Revenue Cycle
Other namesPivot Physical Therapy Of The Carolinas

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X—
Occupational Therapist primary225X00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.