Healthcare Provider Details

I. General information

NPI: 1710174859
Provider Name (Legal Business Name): HANDS ON PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 NEW WAVERLY PL STE 220
CARY NC
27518-7407
US

IV. Provider business mailing address

590 NEW WAVERLY PL SUITE 220
CARY NC
27518-7407
US

V. Phone/Fax

Practice location:
  • Phone: 919-851-0711
  • Fax: 919-851-4848
Mailing address:
  • Phone: 919-851-0711
  • Fax: 919-851-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0700001290
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BERNARR WIEGERS II
Title or Position: PRESIDENT/CEO
Credential:
Phone: 919-557-2111