Port City Physical Therapy, Inc. in Wilmington - Orthopedic
Port City Physical Therapy, Inc. - NPI 1861580102
Port City Physical Therapy, Inc. is a Orthopedic in Wilmington, North Carolina. Port City Physical Therapy, Inc. practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Port City Physical Therapy, Inc. is 1861580102. The last update date is 2008-09-30.
Port City Physical Therapy, Inc.'s current location address is 321 N Front St, Wilmington, North Carolina. You can contact this provider via phone number 9107637674 and fax number 9107638533. The mailing address for Port City Physical Therapy, Inc. is 321 N Front St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port City Physical Therapy, Inc. |
|---|---|
| Address | 321 N Front St, Wilmington, North Carolina |
| Phone Number | 9107637674 |
| Fax Number | 9107638533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Jarboe Royce Donald |
| Credentials | PT |
| Telephone Number | 9107637674 |
NPI Number Detail
| NPI Number | 1861580102 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 321 N Front St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284013908 |
| Phone Number | 9107637674 |
| Fax Number | 9107638533 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 2549 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7200115 | NC | -- | |
| 7210534 | NC | -- | |
| 173 | NC | NC MASSAGE THERAPIST LIC# | |
| 1821190075 | NC | INDIVIDUAL NPI NUMBER | |
| 2549 | NC | NC PT LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Port City Physical Therapy, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Port City Physical Therapy, Inc. has been assigned the NPI (National Provider Identifier) 1861580102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Port City Physical Therapy, Inc.?
The Port City Physical Therapy, Inc. is situated at 321 N Front St, in the city of Wilmington, state of NC, with the zip code 284013908.
What is the area of specialization for Port City Physical Therapy, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Port City Physical Therapy, Inc. is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 2251X0800X.
On what date did the Port City Physical Therapy, Inc. receive the assignment of its 1861580102 from the Centers for Medicare & Medicaid Services?
The Port City Physical Therapy, Inc. was issued its 1861580102 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information pertaining to Port City Physical Therapy, Inc. most recently updated or revised?
The details related to Port City Physical Therapy, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-09-30.