Provider Demographics
NPI:1194828418
Name:PHYSICAL SOLUTIONS INC.
Entity Type:Organization
Organization Name:PHYSICAL SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUSBY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS
Authorized Official - Phone:919-389-7935
Mailing Address - Street 1:5623 DURALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2700
Mailing Address - Country:US
Mailing Address - Phone:919-389-7935
Mailing Address - Fax:919-786-0008
Practice Address - Street 1:5623 DURALEIGH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2700
Practice Address - Country:US
Practice Address - Phone:919-389-7935
Practice Address - Fax:919-786-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07768OtherBLUE CROSS BLUE SHIELD
NC2342111Medicare ID - Type Unspecified