Provider Demographics
NPI:1447236872
Name:APEX PHYSICAL THERAPY & WELLNESS
Entity Type:Organization
Organization Name:APEX PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SWATI
Authorized Official - Middle Name:UDAY
Authorized Official - Last Name:GODBOLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:919-851-6740
Mailing Address - Street 1:103 NEW BOCA WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-9559
Mailing Address - Country:US
Mailing Address - Phone:919-656-8734
Mailing Address - Fax:
Practice Address - Street 1:1001 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4265
Practice Address - Country:US
Practice Address - Phone:919-367-0866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5507225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty