PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC (NPI# 1457764623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457764623 |
| Entity Type | Organization |
| Organization Name | PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC |
| Practice Address |
1020 Southhill Dr Ste 140 Cary NC 27513-8629 |
| Practice Telephone | 9196788828 |
| Mailing Telephone | 9196788828 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-08-23 |
| Authorized Official Name | DR. KEVIN PRUE (MEMBER) |
| Authorized Official Telephone | 8602085382 |
| Authorized Official Credential | PT,DPT,CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
14896 | NC | Ambulatory Health Care Facilities |
| Street Address |
1020 SOUTHHILL DR STE 140 |
| City | CARY |
| State | NC |
| Zip Code | 27513-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982017141 | Kevin Prue | Physical Therapist | 1020 Southhill Dr Ste 140, Cary, NC 27513-8629 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1649805896 | Optimize Physical Therapy | Clinic/Center | 601 Jamerson Rd, Cary, NC 27519-1560 | 2020-03-09 |
| 1174080378 | Movement Physical Therapy LLC | Clinic/Center | 307 Holloway St, Cary, NC 27513-4531 | 2019-02-23 |
| 1306142302 | Physical Therapy Trends | Clinic/Center | 79 Fairfield Ln, Cary, IL 60013-1945 | 2011-02-08 |
| 1710174859 | Hands On Physical Therapy, Inc | Clinic/Center | 590 New Waverly Pl, Suite 220, Cary, NC 27518-7407 | 2007-10-03 |
| 1790797231 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1050 Crescent Green Drive, Cary, NC 27518-8100 | 2006-08-13 |
| 1598767279 | Select Medical Rehabilitation Services, Inc. | Clinic/Center | 300 Kildaire Woods Dr, Cary, NC 27511-7708 | 2005-08-12 |
| 1124506464 | Evolution Physical Therapy and Wellness LLC | Clinic/Center | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2018-07-30 |
| 1376901009 | Response Physical Therapy | Clinic/Center | 107 Edinburgh Dr, Suite 100a, Cary, NC 27511-6412 | 2016-02-09 |
| 1831562362 | Evoke Physical Therapy and Wellness Center, LLC | Clinic/Center | 201 Davis Grove Circle, Suite 106, Cary, NC 27519 | 2015-11-05 |
| Find all providers in CARY | ||||
Please comment or provide details below to improve the information on PRUE PHYSICAL THERAPY AND SPORTS PERFORMANCE 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.