Fayetteville Physical Therapy & Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11784 Issued in NC

Legal business name

FAYETTEVILLE PHYSICAL THERAPY & REHAB LLC

Practice address

4720 Duncastle Rd
Apt 1 D
Fayetteville, NC 28314-1645

Phone

(248) 259-5980

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herat V DesaiNPI 1801956511

Title

Physical Therapist

Phone

(248) 259-5980

Specialties & licenses 1

Addresses

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.

• Herat Vidyut Desai, PT

  • Physical Therapist
  • Clarksville, TN
  • NPI 1801956511
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1427291848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 DUNCASTLE RD",
            "address_2": "APT 1 D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 DUNCASTLE RD",
            "address_2": "APT 1 D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141645",
            "telephone_number": "248-259-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE PHYSICAL THERAPY & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "HERAT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-259-5980"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Neuropsychology PLLC
• Fayetteville Open MRI, LLC (Open MRI Fayetteville an affiliate of Diagnostic Health)
• Fayetteville Orthopaedic Clinic, PA (Fayetteville Orthopaedics and Sports Medicine)
• Fayetteville Otolaryngology Head and Neck Surgery P.a.
• Fayetteville Otolaryngology Head and Neck Surgery PA
• Fayetteville Plastic Surgery Specialists, PA
• Fayetteville Pulmonology Critical Care PC
• Fayetteville Sleep Appliances LLC
• Fayetteville State University
• Fayetteville State University

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.