Provider Demographics
NPI:1205712080
Name:DANCY, NOAH ALLEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:ALLEN
Last Name:DANCY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-2107
Mailing Address - Country:US
Mailing Address - Phone:336-258-8252
Mailing Address - Fax:336-258-8253
Practice Address - Street 1:2015 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2107
Practice Address - Country:US
Practice Address - Phone:336-258-8252
Practice Address - Fax:336-258-8253
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP24341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist