Provider Demographics
NPI:1568982734
Name:GEARY, ALEXA R (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:R
Last Name:GEARY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:R
Other - Last Name:RICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:981 HIGH HOUSE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3510
Mailing Address - Country:US
Mailing Address - Phone:919-388-0111
Mailing Address - Fax:193-888-6689
Practice Address - Street 1:2105 BRAXTON LN STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2862
Practice Address - Country:US
Practice Address - Phone:336-458-3694
Practice Address - Fax:336-333-6309
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP18742225100000X
IN05012725A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist