Healthcare Provider Details

I. General information

NPI: 1215946512
Provider Name (Legal Business Name): DARREN M CADY MSPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 TURTLE CREEK DR
ASHEVILLE NC
28803-3152
US

IV. Provider business mailing address

1256 HENDERSONVILLE RD
ASHEVILLE NC
28803-1905
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-2188
  • Fax: 828-274-7843
Mailing address:
  • Phone: 828-274-2188
  • Fax: 828-274-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number6867
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number6867
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6867
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: