Organization Active NPI

Physiofit of North Carolina

  • Physical Therapy Clinic/Center
  • Wake Forest, NC
National Provider Identifier
1013539402
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOFIT OF NORTH CAROLINA
Practice address
12335 Wake Union Church Rd Ste 204
Wake Forest, NC 27587-4527
Phone
(919) 738-0335
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

12343 Wake Union Church Rd
Ste 204
Wake Forest, NC 27587

12335 Wake Union Church Rd
Ste 204
Wake Forest, NC 27587
Phone (919) 738-0335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.