Provider Demographics
NPI:1659379261
Name:TRUECARE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:TRUECARE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RADWAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:919-781-7740
Mailing Address - Street 1:3214 CHARLES B ROOT WYND
Mailing Address - Street 2:SUITE #155
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5440
Mailing Address - Country:US
Mailing Address - Phone:919-780-7740
Mailing Address - Fax:919-780-7743
Practice Address - Street 1:3214 CHARLES B ROOT WYND
Practice Address - Street 2:214
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5440
Practice Address - Country:US
Practice Address - Phone:919-781-7740
Practice Address - Fax:919-781-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211499Medicaid
NCP00116234OtherRAILROAD MEDICARE
NCP00116234OtherRAILROAD MEDICARE