Healthcare Provider Details

I. General information

NPI: 1376482943
Provider Name (Legal Business Name): URMI ASHOKKUMAR MISTRY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 OLIVE CHAPEL RD STE 103
APEX NC
27502-8587
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 919-373-5353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24764
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: