Provider Demographics
NPI:1114999414
Name:PHYSICAL THERAPY CONSULTANTS INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CONSULTANTS INC
Other - Org Name:KCP PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PFUHL
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PT
Authorized Official - Phone:704-541-1191
Mailing Address - Street 1:PO BOX 472956
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28247
Mailing Address - Country:US
Mailing Address - Phone:704-541-1191
Mailing Address - Fax:704-541-1192
Practice Address - Street 1:8025 CORPORATE CENTER DR
Practice Address - Street 2:STE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226
Practice Address - Country:US
Practice Address - Phone:704-541-1191
Practice Address - Fax:704-541-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC011AUOtherBCBS
NC1114999414Medicare UPIN
2335337Medicare ID - Type Unspecified