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ATHLETIC ADVANTAGE INC. NPI 1548474851


NPI Information

NPI: 1548474851
Provider Name: ATHLETIC ADVANTAGE, INC.

Doing Business As: SPORTS PHYSICAL THERAPY & PERFORMANCE DEVELOPMENT CENTER

Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
6224 FAYETTEVILLE RD
STE. 101
DURHAM, NC
ZIP 27713
Phone: (919) 484-0033
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ATHLETIC ADVANTAGE, INC. is a sports physical therapist in Durham, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. ATHLETIC ADVANTAGE, INC. NPI is 1548474851. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sports Physical Therapy & Performance Development Center.

The provider's business location address is:

6224 FAYETTEVILLE RD
STE. 101
DURHAM, NC
ZIP 27713
Phone: (919) 484-0033
Fax: (919) 484-3008

The provider's authorized official is Jason James Gauvin .
The authorized official title is President, Ceo, Physical Therapist and has the following contact phone number (919) 484-0033.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 2/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSports6073NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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