Organization Active NPI

Stay Active Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Fuquay Varina, NC
National Provider Identifier
1790430163
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STAY ACTIVE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
2433 Deermist Way
Fuquay Varina, NC 27526-5307
Phone
(919) 228-8822
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. Kelly Hobbs, DPTNPI 1205590064
Title
Member Organizer
Phone
(919) 228-8822

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 Primary

Addresses

Primary practice location

2433 Deermist Way
Fuquay Varina, NC 27526-5307

Mailing address

2433 Deermist Way
Fuquay Varina, NC 27526-5307
Phone (919) 228-8822

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": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1790430163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 DEERMIST WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265307",
            "telephone_number": "919-228-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 DEERMIST WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265307",
            "telephone_number": "919-228-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY ACTIVE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MEMBER ORGANIZER",
        "authorized_official_telephone_number": "919-228-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.