Healthcare Provider Details

I. General information

NPI: 1760695688
Provider Name (Legal Business Name): JENNIFER LYNN HARLOFF PT, MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 08/01/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7984 HUMIE OLIVE RD
APEX NC
27502-9604
US

IV. Provider business mailing address

7984 HUMIE OLIVE RD
APEX NC
27502-9604
US

V. Phone/Fax

Practice location:
  • Phone: 919-924-3153
  • Fax: 984-280-4223
Mailing address:
  • Phone: 919-924-3153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberP7004
License Number StateNC

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: