Individual provider Active NPI

Stephen Gunderson, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1023601457
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20249 Issued in NC
Practice address
570 New Waverly PL Ste 120
Cary, NC 27518-7405
Phone
(919) 803-3398
NPI assigned
Feb 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20249 NC Primary

Addresses

Primary practice location

570 New Waverly PL Ste 120
Cary, NC 27518-7405

Mailing address

570 New Waverly PL Ste 120
Cary, NC 27518-7405
Phone (919) 803-3398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325003080 NC Practitioner - Physical Therapist in Private Practice 5193248698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients
North Carolina Institute of Sports Biomechanics, LLC CurrentSince Aug 5, 2021 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

570 New Waverly Pl
Ste 120
Cary, NC 27518
Phone (919) 372-8412

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

501 Douglas St
Durham, NC 27705
Phone (800) 235-3853

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1023601457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187405",
            "telephone_number": "919-803-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187405",
            "telephone_number": "919-803-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "STEPHEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.