Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Physical Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1326564287

Providence Physical Therapy, LLC is a Physical Therapy Clinic/Center in Surf City, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Triton Ln
Surf City, NC 28445-6923
Phone: (910) 803-2040
Fax: (910) 803-2050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1326564287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Deitz — Owner/Manager · (901) 803-2040
NPI enumeratedAugust 22, 2017
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address271 Hickory Point Rd, Hampstead, NC 28443-2633

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