Healthcare Provider Details

I. General information

NPI: 1801239181
Provider Name (Legal Business Name): ELIZABETH ANN WHETSTONE P.T., DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN WHETSTONE PT, DPT

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W MATTHEWS ST STE 106
MATTHEWS NC
28105-1310
US

IV. Provider business mailing address

2502 HEATH LAKE DR
MINT HILL NC
28227-4604
US

V. Phone/Fax

Practice location:
  • Phone: 704-846-0262
  • Fax:
Mailing address:
  • Phone: 614-570-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number13674
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: