WHITTEN PHYSICAL THERAPY LLC (NPI# 1699374124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699374124 |
| Entity Type | Organization |
| Organization Name | WHITTEN PHYSICAL THERAPY LLC |
| Practice Address |
4300 Garrett Rd Durham NC 27707-3487 |
| Mailing Address |
5008 Silhouette Dr Durham NC 27713-7143 |
| Practice Telephone | 2174930563 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | NORAH WHITTEN (OWNER/ PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2174930563 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Functional Phyzio and Performance Therapy | Doing Business As Name - Organization |
| Street Address |
4300 GARRETT RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174616114 | Xiaojun Wang | Dentist | 4300 Garrett Rd, Suite D, Durham, NC 27707-3487 | 2006-10-02 |
| 1164973459 | Shauna Farmer | Family Medicine | 4300 Garrett Rd, Durham, NC 27707-3487 | 2016-10-21 |
| 1144462292 | Chenita N. Rountree | Counselor | 4300 Garrett Rd, Durham, NC 27707-3487 | 2009-04-02 |
| 1235332255 | Jennifer Parker | Family Medicine | 4300 Garrett Rd, Durham, NC 27707-3487 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1902280829 | Acussage Wellness Therapy | Clinic/Center | 3208 Kirby St, Durham, NC 27713-1286 | 2015-07-10 |
| 1326425950 | Cpl Premier Therapy LLC | Clinic/Center | 205 Emerald Pond Ln #202, Durham, NC 27705-6051 | 2015-05-04 |
| 1700271871 | Emilee Billeaud | Clinic/Center | 1307 Glendale Ave, Durham, NC 27701-1921 | 2015-04-05 |
| 1346862125 | Bodygames | Clinic/Center | 3823 Guess Rd, Durham, NC 27705-1505 | 2020-05-14 |
| 1083182265 | Kaizen Physical Therapy | Clinic/Center | 3326 Durham Chapel Hill Blvd Ste 230a, Durham, NC 27707-6266 | 2018-11-06 |
| 1407339534 | Above and Beyond Pt, Inc. | Clinic/Center | 1113 Branwell Dr, Durham, NC 27703-8366 | 2018-09-14 |
| 1942750435 | Wellness Station LLC | Clinic/Center | 3001 Academy Rd, Suite130, Durham, NC 27707-2660 | 2016-10-07 |
| 1376093906 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 5501 Fortunes Ridge Dr, Ste. L, Durham, NC 27713-6102 | 2016-10-06 |
| Find all providers in DURHAM | ||||
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| 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.