Kendrick Cua, PT

Individual provider Active NPI Physical Therapist · Hubert, NC

NPI 1023316569 · NPPES record last updated Mar 8, 2011

Key facts

NPI
1023316569
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10327 (NC)
Practice address
146 Stewart Point Rd
Hubert, NC 28539-3440
Phone
(910) 326-3066
Fax
(910) 326-3231
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10327NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Therapeutic Services, Inc. Past
since Jul 30, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10327 NC Yes

Addresses

Primary practice location

146 Stewart Point Rd
Hubert, NC 28539-3440

Mailing address

504 Wolf Glen CT
Jacksonville, NC 28546-9589
Phone (910) 545-6715

Other providers in Hubert, NC

All providers in Hubert, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.