Organization
PARKER PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE BAKER (ADMINISTRATOR, CPC)
(704) 364-6793
Entity
Organization
Contact information
Practice address
7615 COLONY RD STE 110, CHARLOTTE, NC 28226-5018
(704) 364-6793
(704) 364-3171
Mailing address
7615 COLONY RD STE 110, CHARLOTTE, NC 28226-5018
(704) 364-6793
(704) 364-3171
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4819
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0775D
BCBS PROV #
NC
01
—
16542
PARTNERS PROV #
NC
01
—
2501932
MEDICARE PTAN
NC
01
—
58687
MEDCOST PROV #
NC
01
—
650021133
RR MCARE PROV #
NC
05
—
7200091
—
NC
Enumeration date
11/29/2006
Last updated
04/22/2025
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