Healthcare Provider Details

I. General information

NPI: 1144969940
Provider Name (Legal Business Name): CHRISTOPHER J AHERNE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E WILLIAMS ST STE 108
APEX NC
27539-7765
US

IV. Provider business mailing address

2121 E WILLIAMS ST STE 108
APEX NC
27539-7765
US

V. Phone/Fax

Practice location:
  • Phone: 919-372-8412
  • Fax: 919-375-3974
Mailing address:
  • Phone: 919-372-8412
  • Fax: 919-375-3974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24790
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: