Provider Demographics
NPI:1831977347
Name:REFLEX ORTHOPEDIC PHYSICAL THERAPY
Entity type:Organization
Organization Name:REFLEX ORTHOPEDIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAITALI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, GCS
Authorized Official - Phone:919-986-8035
Mailing Address - Street 1:933 ROSEPINE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6705
Mailing Address - Country:US
Mailing Address - Phone:919-986-8035
Mailing Address - Fax:
Practice Address - Street 1:7560 CARPENTER FIRE STATION RD STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-9663
Practice Address - Country:US
Practice Address - Phone:919-986-8035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy