Healthcare Provider Details

I. General information

NPI: 1962343426
Provider Name (Legal Business Name): RESURGE NC PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10030 GREEN LEVEL CHURCH RD STE 802-2081
CARY NC
27519-8194
US

IV. Provider business mailing address

10030 GREEN LEVEL CHURCH RD STE 802-2081
CARY NC
27519-8194
US

V. Phone/Fax

Practice location:
  • Phone: 919-724-6370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANKARANARAYANI RAJ
Title or Position: OWNER
Credential:
Phone: 919-724-6370