Healthcare Provider Details

I. General information

NPI: 1124719778
Provider Name (Legal Business Name): NC PHYSICAL THERAPY AND BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 ANDERSON DR STE 100
RALEIGH NC
27609-7720
US

IV. Provider business mailing address

6000 SARAHCREEK CT
RALEIGH NC
27607-4866
US

V. Phone/Fax

Practice location:
  • Phone: 199-244-2225
  • Fax: 919-446-3959
Mailing address:
  • Phone: 919-244-2225
  • Fax: 919-446-3959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY ALLAN FREATHY
Title or Position: OWNER MANAGER
Credential:
Phone: 813-498-7048