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

Niphan Pesayanavin, DPT, PT, LAT, ATC

Individual provider Physical Therapist · NPI 1619629292

Niphan Pesayanavin, DPT, PT, LAT, ATC is a Physical Therapist in Kernersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640
Phone: (336) 992-2787
Fax: (336) 993-9943
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P6833 (NC)

Record details

NPI number1619629292
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT , LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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