Healthcare Provider Details

I. General information

NPI: 1164540993
Provider Name (Legal Business Name): JAMES TOFFOLO PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 PINE MEADOWS RD
PINEHURST NC
28374-9531
US

IV. Provider business mailing address

45 PINE MEADOWS RD
PINEHURST NC
28374-9531
US

V. Phone/Fax

Practice location:
  • Phone: 503-888-8144
  • Fax:
Mailing address:
  • Phone: 503-888-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number42510
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19654
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: