NPI 1669128740 · live from the CMS NPI Registry
Active At Home Senior Services
Physical Therapist in Durham, NC. National Provider Identifier 1669128740, active.
NPI record
| NPI | 1669128740 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3523 Courtland Dr, Durham, NC 27707 |
| Practice phone | 919-605-6105 |
| Mailing address | 4711 Hope Valley Rd Ste 4f-417, Durham, NC 27707 |
| Enumerated | February 26, 2022 |
| Last updated | August 30, 2023 |
| Authorized official | Jennifer Brewer, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.