MEDICARE: BIG ROCK PHYSICAL THERAPY 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

General Provider Information

NPI Number	:	1235818725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG ROCK PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	450 NC HIGHWAY 24 UNIT 4
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2550
Country	:	US
Telephone Number	:	757-570-4042
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 NC HIGHWAY 24 UNIT 4
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2550
Country	:	US
Telephone Number	:	757-570-4042
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT MURRAY
Credential	:
Telephone Number	:	757-570-4042

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	07/13/2023

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Directions to “BIG ROCK PHYSICAL THERAPY INC ” Practice Location

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