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ACTIVEDGE FITNESS AND SPORTS PERFORMANCE INC. NPI 1326474420


NPI Information

NPI: 1326474420
Provider Name: ACTIVEDGE FITNESS AND SPORTS PERFORMANCE, INC.
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
4221 GARRETT RD
SUITE 1-2
DURHAM, NC
ZIP 27707
Phone: (919) 493-1204
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ACTIVEDGE FITNESS AND SPORTS PERFORMANCE, INC. is an orthopedic 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 Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. ACTIVEDGE FITNESS AND SPORTS PERFORMANCE, INC. NPI is 1326474420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4221 GARRETT RD
SUITE 1-2
DURHAM, NC
ZIP 27707-467
Phone: (919) 493-1204
Fax: (919) 493-1204

The provider's authorized official is Brian David Diaz .
The authorized official title is Owner and has the following contact phone number (919) 493-1204.

The enumeration date for this NPI number is 9/20/2013 and was last updated on 9/20/2013.


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
12251X0800XPhysical TherapistOrthopedic8453NORTH 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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