Provider Demographics
NPI:1033968623
Name:HBC PARAGON PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HBC PARAGON PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:HOUGH
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:910-215-0541
Mailing Address - Street 1:211 CENTRAL PARK AVE STE L
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8804
Mailing Address - Country:US
Mailing Address - Phone:910-215-0541
Mailing Address - Fax:910-215-9886
Practice Address - Street 1:211 CENTRAL PARK AVE STE L
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8804
Practice Address - Country:US
Practice Address - Phone:910-215-0541
Practice Address - Fax:910-215-9886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty