Provider Demographics
NPI:1174798995
Name:CONTI, DAVID JOSHUA (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSHUA
Last Name:CONTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CORPORATION PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1362
Mailing Address - Country:US
Mailing Address - Phone:919-917-7729
Mailing Address - Fax:919-400-4178
Practice Address - Street 1:1300 CORPORATION PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1362
Practice Address - Country:US
Practice Address - Phone:919-917-7729
Practice Address - Fax:919-400-4178
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6QVGMedicaid
NC6QVGMedicaid