MS. RITA L DEFAZIO PT
NPI 1174743058
Specialist in Winston Salem, NC

Active since April 26, 2007
380H KNOLLWOOD ST # 133, WINSTON SALEM, NC 27103(336) 692-6820 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Rita L Defazio Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RITA L DEFAZIO PT (NPI 1174743058) is an individual specialist in Winston Salem, North Carolina, licensed in California (PT35845) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174743058
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. RITA L DEFAZIOCredential: PT
Location Address380H KNOLLWOOD ST # 133Winston Salem, NC 27103-1815
Mailing Address380h Knollwood St #133Winstonsalem, NC 27103 · (336) 692-6820
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 11, 2011
NPI 1174743058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in CA · PT35845 Licensed in NC · 11341
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
380H KNOLLWOOD ST # 133, Winston Salem, NC 27103

Other Identifiers 3

Medicaid1174743058NC
Medicaid1174743058TX
Medicaid1174743058CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rita Defazio's NPI number?

The NPI number for Rita Defazio is 1174743058. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Rita Defazio located?

Rita Defazio practices at 380H Knollwood St # 133, Winston Salem, NC 27103. The listed phone number is (336) 692-6820.

What is Rita Defazio's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rita Defazio was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.