Phoenix Physical Therapy and Sports Performance -Lake Norman
Organization Active NPI Orthopedic Physical Therapist · Terrell, NC
NPI 1013451301 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1013451301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- P14807 (NC)
- Legal business name
- PHOENIX PHYSICAL THERAPY AND SPORTS PERFORMANCE -LAKE NORMAN
- Practice address
- 7825 NC Highway 150 E Ste 6
Terrell, NC 28682-8703 - Phone
- (704) 483-0777
- Fax
- (704) 483-1883
- NPI assigned
- Dec 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- PHOENIX PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Authorized official
- Name
- Joshua D Vaughan, DPT
- Title
- Managing Member
- Phone
- (704) 483-0777
Parent organization (reported in NPPES) 1
Practitioners 15
-
Reah Grace Barger, DPT
-
Sarah Natherese Bourque, PT, DPT
-
Jennifer D Bruce, PT
-
Kimberly M Currie, DPT
-
Amy Murray Ferrick, M.S.P.T.
-
Bradley James Hirko, DPT
-
Kelly Davis Ivey, DPT
-
Paige Harrison Mohr, DPT
-
Laura Eileen Needham, DPT
-
Heather N Triplett, PTA
-
Jonathan Lawrence Vance, LPTA
National Provider Directory
- Part of
- Phoenix Physical Therapy S
Locations
7825 NC Highway 150 E
#6
Terrell, NC 28682
Phone (704) 483-0777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | P14807 | NC | Yes |
Addresses
Primary practice location
7825 NC Highway 150 E Ste 6
Terrell, NC 28682-8703
Mailing address
290 N Highway 16
Denver, NC 28037-8011
Phone (704) 483-0777
Other providers in Terrell, NC
- Graystone Ophthalmology Associates, P.a.
- Michelle H Headlie
- Anne Denise Leach
- Look Up Health Center, PLLC Dr. Chris Demczar, DC
- Taletha Morris
- Solid Rock Home Care Agency LLC
- Taletha'S Graceful Home Care
- The Therapy Studio PLLC
- Tracy Lynn Tulowiecki
All providers in Terrell, NC · Orthopedic Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.