Provider Demographics
NPI:1760253934
Name:KAPWA PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:KAPWA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA RAIZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-654-1564
Mailing Address - Street 1:8443 MIDDLETON CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8331
Mailing Address - Country:US
Mailing Address - Phone:980-400-6896
Mailing Address - Fax:
Practice Address - Street 1:8443 MIDDLETON CIR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-8331
Practice Address - Country:US
Practice Address - Phone:980-400-6896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty