Dr Jibran Qayumi, DPT | |
204 Matthews Drive, Holly Springs, NC 27540 | |
(919) 578-4200 | |
(919) 578-9922 |
Full Name | Dr Jibran Qayumi |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 204 Matthews Drive, Holly Springs, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043748957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P17194 (North Carolina) | Primary |
Provider Name | Mediq Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801561741 PECOS PAC ID: 2567841638 Enrollment ID: O20220621000039 |
Mailing Address | Practice Location Address |
---|---|
Dr Jibran Qayumi, DPT 204 Matthews Dr, Holly Springs, NC 27540-4302 Ph: (919) 578-4200 | Dr Jibran Qayumi, DPT 204 Matthews Drive, Holly Springs, NC 27540 Ph: (919) 578-4200 |
Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200 | |
Mr. Douglas Dennis Frie, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bryce Meadow Dr, Holly Springs, NC 27540 Phone: 919-267-3114 | |
Sean Thomas Nixon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200 | |
Mrs. Kelly Ommundsen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4302 Osage Dr, Holly Springs, NC 27540 Phone: 609-213-3059 | |
Mrs. Courtney Fortune Davis, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6213 Hilbert Ridge Dr, Holly Springs, NC 27540 Phone: 252-341-3392 | |
Erin Kane, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Village Walk Dr Ste A, Holly Springs, NC 27540 Phone: 919-346-8654 |