AGE WELL NC LLC (NPI# 1376164988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164988 |
| Entity Type | Organization |
| Organization Name | AGE WELL NC LLC |
| Practice Address |
1610 Dunn Pl Hillsborough NC 27278-7721 |
| Practice Telephone | 9085078219 |
| Mailing Telephone | 9085078219 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | SOPHIA PELTON (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 9085078219 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1610 DUNN PL |
| City | HILLSBOROUGH |
| State | NC |
| Zip Code | 27278-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504600 | Drs. Latta & Lau, Dds, Pllc | Dentist | 119 Mayo St, Suite 110, Hillsborough, NC 27278 | 2020-06-26 |
| 1073080149 | Loy Anne Campbell | Occupational Therapist | 115 Oakdale Drive, Suite 8, Hillsborough, NC 27278 | 2018-10-26 |
| 1144726894 | Johanna Janssen | Physical Therapist | 1101 Bartlett Circle, Hillsborough, NC 27278 | 2018-04-02 |
| 1609305309 | Caroline Latta | Dentist | 614 Arthur Minnis Rd, Hillsborough, NC 27278 | 2017-06-06 |
| 1477089811 | Rachel Bethany Berlin | Nurse Practitioner | 276 S Churton Street, 200, Hillsborough, NC 27278 | 2017-05-04 |
| 1083155956 | Jordan Busse | Physical Therapist | 2410 Summit Dr, Hillsborough, NC 27278 | 2017-03-13 |
| 1407394174 | Dylan Thomas Twiddy | Specialist/Technologist | 3032 Prophet Dr., Hillsborough, NC 27278 | 2017-02-02 |
| 1407307572 | Nancy S Hudspeth | Counselor | 204 Saponi Drive, Hillsborough, NC 27278 | 2016-10-24 |
| 1164877536 | Andrea Marie Christian | Physical Therapist | 267 S. Churton Street, Hillsborough, NC 27278 | 2016-05-04 |
| 1578962536 | Family Advancing More Effectively, Inc. | Community/Behavioral Health | 236 Orange Grove Street, Ste. 13, Hillsborough, NC 27278 | 2014-08-15 |
| Find all providers in zip 27278 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952928129 | Home Strong Therapy LLC | Physical Therapist | 9 Devonshire Dr, Greensboro, NC 27410-2434 | 2020-07-02 |
| 1306497631 | Rehabalance LLC | Physical Therapist | 11518 Grenfell Ave, Huntersville, NC 28078-2473 | 2019-09-27 |
| 1104342260 | Donna Misa | Physical Therapist | 8300 Yaxley Hall Dr, Raleigh, NC 27616-5977 | 2017-08-20 |
| 1548797699 | Carlos Bannister | Physical Therapist | 5908 Peaceful Glen Dr, Pfafftown, NC 27040-9300 | 2017-05-19 |
| 1811434129 | Claudian J Davis | Physical Therapist | 8208 Mccarron Way, Charlotte, NC 28215-8716 | 2017-01-24 |
| 1720435241 | Karen Ross | Physical Therapist | 1512 Edgeware Ct, Fayetteville, NC 28314-1864 | 2016-05-16 |
| 1265843908 | Laura Nobles Elkin | Physical Therapist | 6732 Us Highway 220 S, Asheboro, NC 27205-1578 | 2014-05-15 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1104160878 | Norine Cross | Physical Therapist | 204 Highland Trl, Chapel Hill, NC 27516-8626 | 2012-11-19 |
| 1871855825 | Mike Colegrove | Physical Therapist | 9101 Ashton Brook Dr, Kernersville, NC 27284-8467 | 2012-06-14 |
| Find all providers with the same taxonomy | ||||
| City | HILLSBOROUGH |
| Zip Code | 27278 |
Please comment or provide details below to improve the information on AGE WELL NC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.