MEDICARE: JAMES ZACHARY FIPPS 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
1	225100000X	Physical Therapist	PTH10811	AL
2	225100000X	Physical Therapist	P24543	NC

General Provider Information

NPI Number	:	1528797347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ZACHARY FIPPS DPT

Provider Business Mailing Address
First Line	:	3001 EDWARDS MILL RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-5243
Country	:	US
Telephone Number	:	919-781-4060
Fax Number	:	919-781-5246

Provider Business Practice Location Address
First Line	:	781 AVENT FERRY RD STE 110
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-7776
Country	:	US
Telephone Number	:	919-645-1411
Fax Number	:	919-781-5246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	12/10/2025

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