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NPI Code Detail

MEDICARE: DR. SUMMER CONKLIN PT, DPT

MEDICARE:  DR. SUMMER  CONKLIN  PT, 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
1225100000XPhysical TherapistP22237NC

General Provider Information

NPI Number : 1720920473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMMER CONKLIN PT, DPT
Provider Business Mailing Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-350-8993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ DR. SUMMER CONKLIN PT, DPT” Practice Location

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