MEDICARE: SHILTA ROLA DR

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	:	1568312247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHILTA ROLA DR

Provider Business Mailing Address
First Line	:	3213 ARMERIA DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-7175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 ARMERIA DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-7175
Country	:	US
Telephone Number	:	727-254-1819
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ SHILTA ROLA DR” Practice Location

Language	Start Address	Practice Location

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