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Gustavo Vidal, PT
NPI 1184657298 · Specialist · Wake Forest, NC
Gustavo Vidal, PT is a Specialist provider in Wake Forest, NC (NPI 1184657298).
Provider details
- NPI number
- 1184657298
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 8191 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517
Phone: (919) 551-4142
Fax: (919) 694-6417
Street-level locationGet directions
Mailing address
1333 Litchborough Way
Wake Forest, NC 27587-3612
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Frequently asked questions
- What is Gustavo Vidal's NPI number?
- Gustavo Vidal's National Provider Identifier (NPI) is 1184657298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gustavo Vidal's specialty?
- Gustavo Vidal is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Gustavo Vidal located?
- Gustavo Vidal's practice location on file with NPPES is 123 Capcom Ave Ste 2, Wake Forest, NC 27587-6517.
- What is Gustavo Vidal's phone number?
- The practice phone number listed in the NPPES registry for Gustavo Vidal is (919) 551-4142.
- Is Gustavo Vidal's NPI active?
- Yes — Gustavo Vidal's NPI (1184657298) is active in the NPPES registry as of the last update on 2024-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.