Healthcare Provider Details

I. General information

NPI: 1962318444
Provider Name (Legal Business Name): JACOB PAUL HAMMYE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 ERWIN RD
DURHAM NC
27705-0005
US

IV. Provider business mailing address

3475 ERWIN RD
DURHAM NC
27705-0005
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-1651
  • Fax: 919-668-1451
Mailing address:
  • Phone: 919-681-1651
  • Fax: 919-668-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022626
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: