Provider Demographics
NPI:1518762111
Name:DRUMMOND, MIRANDA (DPT)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7724 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-6256
Mailing Address - Country:US
Mailing Address - Phone:984-999-1101
Mailing Address - Fax:984-244-2992
Practice Address - Street 1:7724 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-6256
Practice Address - Country:US
Practice Address - Phone:984-999-1101
Practice Address - Fax:984-244-2992
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP23491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist