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Organization
WAKE FOREST PHYSICAL THERAPY
Active
Organization
WAKE FOREST PHYSICAL THERAPY
Active
Other names
Elite Ortho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JASEN BRISSON (OWNER)
(919) 570-7080
Entity
Organization
Contact information
Practice address
843 WAKE FOREST BUSINESS PARK, SUITE 110, WAKE FOREST, NC 27587-6577
(919) 570-7080
(919) 570-7081
Mailing address
843 WAKE FOREST BUSINESS PARK, SUITE 110, WAKE FOREST, NC 27587-6577
(919) 570-7080
(919) 570-7081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101957600
DEPT. LABOR WORKERS COMP
NC
01
—
1112Q
BLUE CROSS BLUE SHIELD
NC
01
—
7659542
AETNA
NC
01
—
C6034
MEDCOST
NC
Enumeration date
05/08/2006
Last updated
11/17/2025
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