Healthcare Provider Details

I. General information

NPI: 1649132176
Provider Name (Legal Business Name): HANNAH GRACE PERRYMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1168 E CUTLAR XING
LELAND NC
28451-6484
US

IV. Provider business mailing address

802 SAINT ANDREWS DR APT P
WILMINGTON NC
28412-8350
US

V. Phone/Fax

Practice location:
  • Phone: 910-332-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: