Healthcare Provider Details

I. General information

NPI: 1134530280
Provider Name (Legal Business Name): MARIA JEAN RADEMACHER DPT, PT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 ERWIN RD
DURHAM NC
27705-0005
US

IV. Provider business mailing address

3475 ERWIN RD
DURHAM NC
27705-0005
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-1400
  • Fax:
Mailing address:
  • Phone: 919-668-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberP24488
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: