Healthcare Provider Details

I. General information

NPI: 1891699500
Provider Name (Legal Business Name): BODY PAIN SOLUTIONS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
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 TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMES TOFFOLO
Title or Position: OWNER
Credential: PT
Phone: 910-639-0412