MEDICARE: HEALTH HARBOR PHYSICAL THERAPY LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1427822725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH HARBOR PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	122 SILVERSPRING PL
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-6054
Country	:	US
Telephone Number	:	603-858-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	8531 CROWN CRESCENT CT STE B
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7795
Country	:	US
Telephone Number	:	704-443-7148
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIO CARO
Credential	:
Telephone Number	:	603-858-7222

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	06/30/2025

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