Healthcare Provider Details

I. General information

NPI: 1841101318
Provider Name (Legal Business Name): RECLAIM PHYSICAL THERAPY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3622 LYCKAN PKWY STE 2001
DURHAM NC
27707-2565
US

IV. Provider business mailing address

3622 LYCKAN PKWY STE 2001
DURHAM NC
27707-2565
US

V. Phone/Fax

Practice location:
  • Phone: 919-804-0925
  • Fax:
Mailing address:
  • Phone: 919-804-0925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MINDY CHERYL KIM
Title or Position: CEO
Credential: PT, DPT
Phone: 909-610-5488