Individual
MR. GREGORY S BASHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1031 W WILLIAMS ST, SUITE 103, APEX, NC 27502-3955
(919) 249-4040
(919) 249-4043
Mailing address
1031 W WILLIAMS ST STE 103, APEX, NC 27502-3955
(919) 249-4040
(919) 249-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305006661
VA
225100000X
Physical Therapist
Primary
7481
NC
225100000X
Physical Therapist
Primary
P7481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079E3
BCBS
NC
01
—
650015833
RAILROAD MEDICARE
VA
01
—
8928711
AETNA
—
05
—
8928711
—
VA
01
—
9251105
AETNA
NC
Enumeration date
04/04/2006
Last updated
02/13/2026
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