Provider Demographics
NPI:1306577119
Name:EMPOWER PELVIC FLOOR PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:EMPOWER PELVIC FLOOR PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:DELPHI
Authorized Official - Last Name:ELIAS-SPOHN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-771-0770
Mailing Address - Street 1:402 FOREST CT
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1276
Mailing Address - Country:US
Mailing Address - Phone:330-771-0770
Mailing Address - Fax:
Practice Address - Street 1:160 MACGREGOR PINES DR STE 301
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6037
Practice Address - Country:US
Practice Address - Phone:330-771-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty