Healthcare Provider Details

I. General information

NPI: 1770467805
Provider Name (Legal Business Name): VERMA PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 GRANTHAM HOUSE WAY
APEX NC
27523-5827
US

IV. Provider business mailing address

143 GRANTHAM HOUSE WAY
APEX NC
27523-5827
US

V. Phone/Fax

Practice location:
  • Phone: 763-273-6500
  • Fax:
Mailing address:
  • Phone: 763-273-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PRATIBHA VERMA
Title or Position: OWNER PROVIDER AUTHORIZED OFFICIAL
Credential: P.T.
Phone: 763-273-6500