MEDICARE: PHYSICAL THERAPY CONSULTANTS INC

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
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011AU	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1114999414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY CONSULTANTS INC

Provider Business Mailing Address
First Line	:	PO BOX 472956
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28247
Country	:	US
Telephone Number	:	704-541-1191
Fax Number	:	704-541-1192

Provider Business Practice Location Address
First Line	:	8025 CORPORATE CENTER DR
Second Line	:	STE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28226
Country	:	US
Telephone Number	:	704-541-1191
Fax Number	:	704-541-1192

Authorized Official
Title or Position	:	PHYSICAL THERAPIST OWNER PRESIDENT
Name	:	MS. JOY M PFUHL
Credential	:	LICENSED PT
Telephone Number	:	704-541-1191

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	03/27/2024

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Directions to “PHYSICAL THERAPY CONSULTANTS INC ” Practice Location

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