INSIDEOUT BODY THERAPIES, LLC (NPI# 1437399979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437399979 |
| Entity Type | Organization |
| Organization Name | INSIDEOUT BODY THERAPIES, LLC |
| Practice Address |
5720 Fayetteville Rd Suite 101 Durham NC 27713-9089 |
| Practice Telephone | 9193610104 |
| Practice Fax Number | 9193610105 |
| Mailing Telephone | 9193610104 |
| Mailing Fax Number | 9193610105 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | MISCHA E ABSHIRE (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9193610104 |
| Authorized Official Credential | PT, DPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9567 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10210 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9715 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | INSIDEOUT BODY THERAPIES, LLC | 271 S Franklin St, Denver, CO 80209 |
| Street Address |
5720 FAYETTEVILLE RD SUITE 101 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-9089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174626287 | Edna Goldstaub | Social Worker | 5720 Fayetteville Rd, Durham, NC 27713-9089 | 2006-09-06 |
| 1992252787 | Susan Kokot | Physical Therapist | 5720 Fayetteville Rd, Suite 101, Durham, NC 27713-5332 | 2016-09-08 |
| 1396290474 | Taran Rosenthal | Acupuncturist | 5720 Fayetteville Rd, Suite 101, Durham, NC 27713-5332 | 2016-08-18 |
| 1508069592 | Melody Margarita Marshall | Counselor | 5720 Fayetteville Rd, Suite 101, Durham, NC 27713-9089 | 2007-06-07 |
| 1275674491 | Youth Development Corporation of America | Community/Behavioral Health | 5720 Fayetteville Rd, Durham, NC 27713-9089 | 2007-02-09 |
| 1417097908 | Kelly Fairman | Counselor | 5720 Fayetteville Rd, Suite 211, Durham, NC 27713-9089 | 2007-02-07 |
| 1821196270 | Letonya Love | Psychologist | 5720 Fayetteville Rd, Durham, NC 27713-9089 | 2006-09-20 |
| 1568560910 | Anne Wakefield | Social Worker | 5720 Fayetteville Rd, Durham, NC 27713-9089 | 2006-09-20 |
| 1073611430 | Maria Marta Gazzola | Psychiatry & Neurology | 5720 Fayetteville Rd, Durham, NC 27713-9089 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1568979987 | Michael Alan Schmidt | Physical Therapist | Dumc 3965 Duke South Clinic 1b/1c, Durham, NC 27710-0001 | 2018-01-08 |
| 1568428340 | Spine Rehabilitation and Reeducation Center of North | Physical Therapist | 2309 Sparger Rd, Pob 2403, Durham, NC 27705-2227 | 2006-04-21 |
| 1831707066 | Kyle Brendan Stapleton | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-07-14 |
| 1750918470 | Jackson Davis | Physical Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-03-24 |
| 1407334550 | Trevor Lentz | Physical Therapist | 2400 Pratt St, Durham, NC 27705-3976 | 2018-07-31 |
| 1750890802 | Monica Austin | Physical Therapist | 4709 Creekstone Dr Ste 300, Durham, NC 27703-0016 | 2017-09-20 |
| 1376070029 | Preston Roundy | Physical Therapist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2017-05-12 |
| 1477080190 | Morven Ann Ross Malay | Physical Therapist | 501 Douglas St, Durham, NC 27705-3888 | 2017-05-11 |
| 1326474420 | Activedge Fitness and Sports Performance, Inc. | Physical Therapist | 4221 Garrett Rd, Suite 1-2, Durham, NC 27707-3467 | 2013-09-20 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.