NPIMap

Organization Active NPI

Physical Recovery, LLC

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1598802415
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PHYSICAL RECOVERY, LLC
Practice address
3400 Croasdaile Dr
Ste. 201
Durham, NC 27705-6815
Phone
(919) 382-0150
Fax
(919) 382-3390
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jeanne GuilliamsNPI 1316053630
Title
Owner
Phone
(919) 382-0150

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3400 Croasdaile Dr
Ste. 201
Durham, NC 27705-6815

Mailing address

3400 Croasdaile Dr
Ste. 201
Durham, NC 27705-6815
Phone (919) 382-0150

Other identifiers 2

IdentifierTypeStateIssuer
7211223MedicaidNC
0786EOtherNCGROUP BCBS

National Provider Directory

National Provider Directory

Locations

3400 Croasdaile Dr
Ste 201
Durham, NC 27705
Phone (919) 382-0150

Practitioners & affiliated clinicians

Practitioners 5

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1598802415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "STE. 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-382-0150",
            "fax_number": "919-382-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "STE. 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-382-0150",
            "fax_number": "919-382-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUILLIAMS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-382-0150"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211223",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "0786E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.