Healthcare Provider Details

I. General information

NPI: 1639887623
Provider Name (Legal Business Name): BEST PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11136 LIGON MILL RD
WAKE FOREST NC
27587-3066
US

IV. Provider business mailing address

1714 CANTERBURY RD
RALEIGH NC
27608-1110
US

V. Phone/Fax

Practice location:
  • Phone: 919-791-6678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MARC DOUEK
Title or Position: OWNER
Credential:
Phone: 919-791-6678