Healthcare Provider Details

I. General information

NPI: 1235528985
Provider Name (Legal Business Name): XCEL REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2015
Last Update Date: 01/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12528 HONEYCHURCH ST
RALEIGH NC
27614-8482
US

IV. Provider business mailing address

12528 HONEYCHURCH ST
RALEIGH NC
27614-8482
US

V. Phone/Fax

Practice location:
  • Phone: 919-724-4047
  • Fax: 919-800-3533
Mailing address:
  • Phone: 919-724-4047
  • Fax: 919-800-3533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number15362
License Number StateNC

VIII. Authorized Official

Name: DR. BRIAN CAMPBELL
Title or Position: OWNER
Credential: PT, DPT
Phone: 919-724-4047