Kimberly Fae Agatucci, PT | |
120 William Penn Plz, Durham, NC 27704-2150 | |
(919) 220-5255 | |
Not Available |
Full Name | Kimberly Fae Agatucci |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 120 William Penn Plz, Durham, 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 |
---|---|---|---|
1366623829 | NPI | - | NPPES |
P8687 | Other | NC | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8687 (North Carolina) | Primary |
Provider Name | Emergeortho Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Fae Agatucci, PT Po Box 5105, Belfast, ME 04915-5100 Ph: (919) 220-5255 | Kimberly Fae Agatucci, PT 120 William Penn Plz, Durham, NC 27704-2150 Ph: (919) 220-5255 |
Charlotte Hunter Pearce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Pickett Road, The Forest At Duke Retirement Community, Durham, NC 27705 Phone: 919-452-6100 | |
Ms. Robin Nicole Conradi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276 | |
Amy Katherine Tally, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Michelle Baumgart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5705 Fayetteville Rd, Durham, NC 27713 Phone: 919-666-2624 | |
Kelly Mcnaughton Raney, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 E Carver St, Durham, NC 27704 Phone: 919-471-2273 | |
Mrs. Claudia Jakiel Leasure, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2609 N Duke St Ste 203, Durham, NC 27704 Phone: 919-220-6532 | |
Steven Fairbanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 |