Provider Demographics
NPI:1184632812
Name:FORD, JANET P (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:P
Last Name:FORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 TOYES DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27239-9607
Mailing Address - Country:US
Mailing Address - Phone:336-465-5919
Mailing Address - Fax:
Practice Address - Street 1:4001 PIEDMONT PKWY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9402
Practice Address - Country:US
Practice Address - Phone:336-878-8824
Practice Address - Fax:336-878-8881
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12601225100000X
FLPT19557225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist