Active NPI
Stephen Gunderson, DPT
- Physical Therapist
- Cary, NC
National Provider Identifier
1023601457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| North Carolina Institute of Sports Biomechanics, LLC | Current | Accepting new patients | |
| Duke University Health System, Inc. | Physical Therapist | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Physical Therapy Clinic/Center
- Apex, NC
- NPI 1780090324
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.