Provider Demographics
NPI:1528511565
Name:APEX PT POSTURAL RESTORATION CENTER
Entity type:Organization
Organization Name:APEX PT POSTURAL RESTORATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANGINI
Authorized Official - Middle Name:
Authorized Official - Last Name:RANE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-889-3126
Mailing Address - Street 1:113 SEYMOUR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5871
Mailing Address - Country:US
Mailing Address - Phone:919-303-0845
Mailing Address - Fax:919-704-8198
Practice Address - Street 1:35 THOMPSON ST STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5511
Practice Address - Country:US
Practice Address - Phone:919-542-4954
Practice Address - Fax:919-704-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2502867AMedicare PIN