Organization Active NPI

Live Well Physical Therapy and Pilates, LLC

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1154946069
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIVE WELL PHYSICAL THERAPY AND PILATES, LLC
Practice address
112 Hamilton Hedge PL
Cary, NC 27519-9144
Phone
(919) 818-9653
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lora GuerraNPI 1235442005
Title
President
Phone
(919) 818-9653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

112 Hamilton Hedge PL
Cary, NC 27519-9144

Mailing address

112 Hamilton Hedge PL
Cary, NC 27519-9144
Phone (919) 818-9653

National Provider Directory

National Provider Directory

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1154946069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAMILTON HEDGE PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199144",
            "telephone_number": "919-818-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HAMILTON HEDGE PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199144",
            "telephone_number": "919-818-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PHYSICAL THERAPY AND PILATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-818-9653"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.