Healthcare Provider Details

I. General information

NPI: 1538879846
Provider Name (Legal Business Name): PAIGE HULL CORDEK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE HULL PT, DPT

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 FAIRVIEW RD STE 250
CHARLOTTE NC
28210-0199
US

IV. Provider business mailing address

1311 MAMARONECK AVE STE 140
WHITE PLAINS NY
10605-5224
US

V. Phone/Fax

Practice location:
  • Phone: 980-224-7958
  • Fax:
Mailing address:
  • Phone: 914-294-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP21736
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: