NPI 1578607222 · live from the CMS NPI Registry
Advanced Therapy
Physical Therapist in Greensboro, NC. National Provider Identifier 1578607222, active.
NPI record
| NPI | 1578607222 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 414 Gallimore Dairy Rd, Suite B, Greensboro, NC 27409 |
| Practice phone | 336-665-8445 |
| Mailing address | 8300 Falls Of Neuse Rd, Suite 104, Raleigh, NC 27615 |
| Enumerated | February 16, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Jeffrey Leatherman, PT Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 8012 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.