Provider Demographics
NPI:1912603135
Name:FACTOR PHYSIO LLC
Entity Type:Organization
Organization Name:FACTOR PHYSIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT, CSCS
Authorized Official - Phone:919-548-7807
Mailing Address - Street 1:1101 E WHITAKER MILL RD STE 165
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-5357
Mailing Address - Country:US
Mailing Address - Phone:919-548-7807
Mailing Address - Fax:
Practice Address - Street 1:1101 E WHITAKER MILL RD STE 165
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-5357
Practice Address - Country:US
Practice Address - Phone:919-548-7807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568913259OtherNPI