OrganizationActive
Activedge Fitness and Sports Performance, Inc.
NPI 1326474420 · Orthopedic Physical Therapist · Durham, NC
Provider details
- NPI number
- 1326474420
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brian Diaz, Owner(919) 493-1204
- License
- 8453 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4221 Garrett Rd
Suite 1-2
Durham, NC 27707-3467
Phone: (919) 493-1204
Fax: (919) 493-1204
Approximate (ZIP-level) locationGet directions
Mailing address
4221 Garrett Rd
Durham, NC 27707-3467
Registry dates
- Enumerated
- 2013-09-20
- Last updated
- 2013-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.