Provider Demographics
NPI:1386721132
Name:CABRERA, JOEL (MPT)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:
Last Name:CABRERA
Suffix:
Gender:
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HOOD ST STE 4
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3794
Mailing Address - Country:US
Mailing Address - Phone:199-886-0976
Mailing Address - Fax:269-224-8668
Practice Address - Street 1:105 HOOD ST STE 4
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3794
Practice Address - Country:US
Practice Address - Phone:199-886-0976
Practice Address - Fax:269-224-8668
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
FLPT216792251X0800X
NCP12052225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic