Organization
ORTHOS PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY WORLDS BROADWELL PT (PRESIDENT)
(919) 553-8185
Entity
Organization
Contact information
Practice address
400 GUY RD, CLAYTON, NC 27520-7205
(919) 553-8185
(919) 553-0187
Mailing address
400 GUY RD, CLAYTON, NC 27520-7205
(919) 553-8185
(919) 553-0187
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1584/8138/9024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197U
BCBS GROUP PROVIDER NUMBE
NC
05
—
7210696/7200093
—
NC
01
—
CG8811
RR MEDICARE GROUP PROVIDE
NC
Enumeration date
10/26/2006
Last updated
10/23/2025
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