Healthcare Provider Details

I. General information

NPI: 1699791129
Provider Name (Legal Business Name): SOUTHEASTERN PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 HENDERSONVILLE RD
ASHEVILLE NC
28803-1905
US

IV. Provider business mailing address

1256 HENDERSONVILLE RD
ASHEVILLE NC
28803-1905
US

V. Phone/Fax

Practice location:
  • Phone: 828-412-5330
  • Fax:
Mailing address:
  • Phone: 828-412-5330
  • Fax: 828-633-6288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DARREN M CADY
Title or Position: OWNER
Credential: MSPT
Phone: 828-274-2188