Healthcare Provider Details

I. General information

NPI: 1003003385
Provider Name (Legal Business Name): HANDS ON PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 W GANNON AVE
ZEBULON NC
27597-2510
US

IV. Provider business mailing address

530 W GANNON AVE
ZEBULON NC
27597-2510
US

V. Phone/Fax

Practice location:
  • Phone: 919-269-0107
  • Fax: 919-269-0207
Mailing address:
  • Phone: 919-269-0107
  • Fax: 919-269-0207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0700001290
License Number StateNC

VIII. Authorized Official

Name: BERNARR WIEGERS II
Title or Position: PRESIDENT/CEO
Credential:
Phone: 919-557-2111