Healthcare Provider Details

I. General information

NPI: 1063257731
Provider Name (Legal Business Name): PARAGON SAFETY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 PURSER DR
RALEIGH NC
27603-4178
US

IV. Provider business mailing address

PO BOX 37397
RALEIGH NC
27627-7397
US

V. Phone/Fax

Practice location:
  • Phone: 919-256-1400
  • Fax: 919-256-1403
Mailing address:
  • Phone: 919-256-1400
  • Fax: 919-256-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JONNI LORD
Title or Position: OCCUPATIONAL HEALTH SRVCS MANAGER
Credential:
Phone: 919-256-1400