Healthcare Provider Details

I. General information

NPI: 1780501296
Provider Name (Legal Business Name): JUSTEN FINE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 UNIVERSITY DR
DURHAM NC
27707-2544
US

IV. Provider business mailing address

9705 LAYLA AVE
RALEIGH NC
27617-4291
US

V. Phone/Fax

Practice location:
  • Phone: 919-627-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP25039
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: