NPIMap

Organization Active NPI

Prue Physical Therapy and Sports Performance LLC

  • Physical Therapy Clinic/Center
  • Cary, NC
National Provider Identifier
1457764623
Registry record updated Aug 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
14896 Issued in NC
Legal business name
PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Practice address
1020 Southhill Dr Ste 140
Cary, NC 27513-8629
Phone
(919) 678-8828
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2014

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

Authorized official

Name
Dr. Kevin Prue, PT,DPT,CSCSNPI 1982017141
Title
Member
Phone
(860) 208-5382

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 Therapy Clinic/Center 261QP2000X 14896 NC Primary

Addresses

Primary practice location

1020 Southhill Dr Ste 140
Cary, NC 27513-8629

Mailing address

1020 Southhill Dr Ste 140
Cary, NC 27513-8629
Phone (919) 678-8828

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408752000000",
    "number": "1457764623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SOUTHHILL DR STE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138629",
            "telephone_number": "919-678-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SOUTHHILL DR STE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138629",
            "telephone_number": "919-678-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-08-23",
        "status": "A",
        "authorized_official_last_name": "PRUE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-208-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "14896",
            "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 Aug 23, 2014; 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.