The Obstacle Doc Performance Training and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE OBSTACLE DOC PERFORMANCE TRAINING AND PHYSICAL THERAPY LLC

Practice address

220 Dominion Dr Ste G
Morrisville, NC 27560-7307

Phone

(919) 230-1992

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Christopher John Kosobucki, PT, DPT, OCS, COMTNPI 1538182977

Title

Physical Therapist

Phone

(919) 943-7012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher John Kosobucki, P.T.

  • Physical Therapist
  • Durham, NC
  • NPI 1538182977
  NPD Authorized official

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1780342188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WINROCK PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051463",
            "telephone_number": "919-943-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DOMINION DR STE G",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607307",
            "telephone_number": "919-230-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OBSTACLE DOC PERFORMANCE TRAINING AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "KOSOBUCKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-943-7012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Butterfly Effect Supervision and Training, PLLC
• The Kairos Experience, PLLC
• The Last Stop on the Block
• The Naked Truth, PLLC
• The Nanny Care
• The Pediatric Express PA
• Therapy Smarts Inc
• Dori Jean Thomas, MD
• Jessica Blair Thomas, NP-C
• Vanessa F. Thomas, D.D.S., M.P.H.

• Physical Therapy Clinic/Center in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.