MEDICARE: BEST PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1427674019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	1714 CANTERBURY RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 HARGROVE RD STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-1949
Country	:	US
Telephone Number	:	919-327-7697
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARC DOUEK
Credential	:	MPT
Telephone Number	:	919-327-7697

Provider Enumeration Date	:	06/19/2020
Last Update Date	:	10/13/2023

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