Healthcare Provider Details

I. General information

NPI: 1447529797
Provider Name (Legal Business Name): JOEL D. SATTGAST PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 RAMSEY ST
FAYETTEVILLE NC
28311-1420
US

IV. Provider business mailing address

2821 EASTOVER NORTH DR
EASTOVER NC
28312-6705
US

V. Phone/Fax

Practice location:
  • Phone: 402-618-5700
  • Fax:
Mailing address:
  • Phone: 402-618-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number17833
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: