Healthcare Provider Details

I. General information

NPI: 1154844694
Provider Name (Legal Business Name): CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7277 NC HIGHWAY 42 STE 208
RALEIGH NC
27603-7528
US

IV. Provider business mailing address

PO BOX 150
LIMA OH
45802-0150
US

V. Phone/Fax

Practice location:
  • Phone: 919-773-4086
  • Fax: 919-773-4087
Mailing address:
  • Phone: 419-221-6717
  • Fax: 419-222-0507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: STEVE KRZYMINSKI
Title or Position: EXEC. VP
Credential:
Phone: 419-221-6717