| Inner Coastal Plain - Pt, Llc | |
|
150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 | |
| (910) 797-2148 | |
| Not Available |
| Full Name | Inner Coastal Plain - Pt, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 150 Francam Dr Ste 124, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740069533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Jamie C Clapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205123429 PECOS PAC ID: 6305095407 Enrollment ID: I20240112003638 |
| Provider Name | Michelle Dawn Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417719923 PECOS PAC ID: 2062851934 Enrollment ID: I20240411004813 |
| Provider Name | Samantha Aileen Leitner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689415804 PECOS PAC ID: 1850837717 Enrollment ID: I20240726003023 |
| Provider Name | Kimberly Akiye Michiko Ito |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558108175 PECOS PAC ID: 7416495619 Enrollment ID: I20240820000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Coastal Plain - Pt, Llc 150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 Ph: (910) 797-2148 | Inner Coastal Plain - Pt, Llc 150 Francam Dr Ste 124, Fayetteville, NC 28311-4500 Ph: (910) 797-2148 |