Healthcare Provider Details

I. General information

NPI: 1871421321
Provider Name (Legal Business Name): ELLEN L GAKIS-DAY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELLEN GAKIS PT

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 PATRICK JOHNSTON LN
DAVIDSON NC
28036-7201
US

IV. Provider business mailing address

917 PATRICK JOHNSTON LN
DAVIDSON NC
28036-7201
US

V. Phone/Fax

Practice location:
  • Phone: 704-577-3317
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP4559
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: