Active NPI
Physiofit of North Carolina
- 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
- 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
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
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.
-
- 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
- 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.