Healthcare Provider Details

I. General information

NPI: 1912603135
Provider Name (Legal Business Name): FACTOR PHYSIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E WHITAKER MILL RD STE 165
RALEIGH NC
27604-5357
US

IV. Provider business mailing address

1101 E WHITAKER MILL RD STE 165
RALEIGH NC
27604-5357
US

V. Phone/Fax

Practice location:
  • Phone: 919-548-7807
  • Fax:
Mailing address:
  • Phone: 919-548-7807
  • Fax:

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: DR. SARAH LEONARD
Title or Position: OWNER AND PHYSICAL THERAPIST
Credential: DPT, PT, CSCS
Phone: 919-548-7807