Provider Demographics
NPI:1396797981
Name:POPE, ELIZABETH P (PT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:P
Last Name:POPE
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Gender:F
Credentials:PT
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Mailing Address - Street 1:3001 EDWARDS MILL RD
Mailing Address - Street 2:# 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5243
Mailing Address - Country:US
Mailing Address - Phone:919-863-6853
Mailing Address - Fax:919-781-5246
Practice Address - Street 1:3320 EXECUTIVE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7445
Practice Address - Country:US
Practice Address - Phone:919-872-3747
Practice Address - Fax:877-874-3414
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2016-08-11
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Provider Licenses
StateLicense IDTaxonomies
NC2969225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211885Medicaid
NYH346512Medicare ID - Type Unspecified