Active NPI
Physiofit of North Carolina
Doing business as PhysioFit
- Physical Therapy Clinic/Center
- Wake Forest, NC
National Provider Identifier
1013539402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PHYSIOFIT OF NORTH CAROLINA
- Doing business as
- PhysioFit
- Practice address
- 12335 Wake Union Church Rd Ste 204
Wake Forest, NC 27587-4527 - Phone
- (919) 738-0335
- NPI assigned
- May 8, 2020
- Last updated
- May 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harrison Vaughan, DPT
- Title
- Physical Therapist and Co-Owner
- Phone
- (919) 728-0335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
12335 Wake Union Church Rd Ste 204
Wake Forest, NC 27587-4527
Mailing address
12343 Wake Union Church Rd Ste 204
Wake Forest, NC 27587-7434
Phone (919) 728-0335
Other names 1
- PhysioFit
National Provider Directory
National Provider DirectoryLocations
12335 Wake Union Church Rd
Ste 204
Wake Forest, NC 27587
Phone (919) 738-0335
12343 Wake Union Church Rd
Ste 204
Wake Forest, NC 27587
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Raleigh, NC
- NPI 1821465774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1013539402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12343 WAKE UNION CHURCH RD STE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877434",
"telephone_number": "919-728-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12335 WAKE UNION CHURCH RD STE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874527",
"telephone_number": "919-738-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOFIT OF NORTH CAROLINA",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "HARRISON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST AND CO-OWNER",
"authorized_official_telephone_number": "919-728-0335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PhysioFit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wake Forest, NC
- Philip D. Burton M.D. PLLC
- Gregory Phillips, DPM
- Margaret Faye Bergin Phillips, MA, CCC-SLP
- Phoenix and Oak Counseling
- Physical Therapy @ Home LLC
- Farrah G Pickett, PHARM.D.
- Kyler Patrick Pilewski, PA-C
- Pinnacle Health Services of North Carolina, LLC (Cardinal Points Imaging of the Carolinas, Wake Forest)
- Playful Minds Therapy & Wellness Center, PLLC
- Jill Hagwood Pollock, PHARM D, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.