Provider Demographics
NPI:1144309949
Name:THERAPY PLUS CLINIC, INC.
Entity type:Organization
Organization Name:THERAPY PLUS CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:828-245-5003
Mailing Address - Street 1:247 OAK STREET EXTENSION
Mailing Address - Street 2:SUITE 145
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-4909
Mailing Address - Country:US
Mailing Address - Phone:828-245-5003
Mailing Address - Fax:828-245-5798
Practice Address - Street 1:247 OAK ST. EXT.
Practice Address - Street 2:SUITE 145
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-4909
Practice Address - Country:US
Practice Address - Phone:828-245-5003
Practice Address - Fax:828-245-5798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8208261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017PXOtherBC/BS