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NPI Code Detail

MEDICARE: PAYTON NICOLE MEDICH DPT

MEDICARE: PAYTON NICOLE MEDICH DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP24688NC

General Provider Information

NPI Number : 1033060082
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAYTON NICOLE MEDICH DPT
Provider Business Mailing Address
First Line : 1396 WESTGATE CENTER DR STE B
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-2932
Country : US
Telephone Number : 336-331-3277
Fax Number : 336-331-3279
Provider Business Practice Location Address
First Line : 1396 WESTGATE CENTER DR STE B
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-2932
Country : US
Telephone Number : 336-331-3277
Fax Number : 336-331-3279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/13/2026

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Directions to “ PAYTON NICOLE MEDICH DPT” Practice Location

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