Healthcare Provider Details

I. General information

NPI: 1205354297
Provider Name (Legal Business Name): ANGELA NICHOLE CHIGOS-WHITE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 N 35TH ST STE D
MOREHEAD CITY NC
28557-3184
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 252-726-1802
  • Fax: 252-726-1805
Mailing address:
  • Phone: 252-726-1802
  • Fax: 252-726-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19108
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: