Elite Ortho Physical Therapy

LBN: Wake Forest Physical Therapy
Elite Ortho Physical Therapy is an health care organization with primary practice located at 843 Wake Forest Business Park Suite 110, Wake Forest NC 27587-6577. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Wake Forest Physical Therapy can be contacted via phone (919) 570-7080, or through Brisson, Jasen via phone (919) 570-7080.

Contact Information

Primary practice address
843 Wake Forest Business Park Suite 110 Wake Forest NC 27587-6577
Phone: (919) 570-7080
Fax: (919) 570-7081
Website:
Map and Directions
Authorized official contact:
Name: Brisson, Jasen
Phone: (919) 570-7080

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X North Carolina

Profile Details

NPI number 1316996317
LBN Legal business name Wake Forest Physical Therapy
DBA Doing business as Elite Ortho Physical Therapy
Authorized official Brisson, Jasen
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316996317 NPPES
North Carolina Other 1112Q BLUE CROSS BLUE SHIELD
North Carolina Other 101957600 BLUE CROSS BLUE SHIELD
North Carolina Other C6034 BLUE CROSS BLUE SHIELD
North Carolina Other 7659542 BLUE CROSS BLUE SHIELD

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