Healthcare Provider Details

I. General information

NPI: 1982739439
Provider Name (Legal Business Name): LORI L METZGER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VISION DR
ASHEBORO NC
27203-3855
US

IV. Provider business mailing address

400 VISION DR
ASHEBORO NC
27203-3855
US

V. Phone/Fax

Practice location:
  • Phone: 336-672-5450
  • Fax:
Mailing address:
  • Phone: 336-672-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPTO17175
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP014643T
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: