Healthcare Provider Details

I. General information

NPI: 1578174033
Provider Name (Legal Business Name): ROBYN ELIZABETH JEFFREY PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 COMPETITION CENTER DR STE 154
MORRISVILLE NC
27560-0428
US

IV. Provider business mailing address

3001 EDWARDS MILL RD STE 200
RALEIGH NC
27612-5243
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-4060
  • Fax: 919-781-5246
Mailing address:
  • Phone: 919-781-4060
  • Fax: 919-781-5246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA7303
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: