Healthcare Provider Details
I. General information
NPI: 1639687965
Provider Name (Legal Business Name): PIN POINT PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2018
Last Update Date: 08/15/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5821 FAIRVIEW RD STE 215
CHARLOTTE NC
28209-3649
US
IV. Provider business mailing address
7428 EDENBRIDGE LN
CHARLOTTE NC
28226-3392
US
V. Phone/Fax
- Phone: 704-612-6797
- Fax: 980-422-0089
- Phone: 704-840-2361
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 5699 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 11551 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
GINGER
LEE
MORRISSEY
Title or Position: MANAGER/OWNER
Credential: PT, DPT, FAAOMPT
Phone: 704-840-2361