Abundant Life Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ABUNDANT LIFE PHYSICAL THERAPY, LLC

Practice address

1531 Cinema Dr Ste C
Statesville, NC 28625-5403

Phone

(980) 443-6070

Fax

(980) 443-6070

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Richard Stewart, PT, DPT, OCS, DNNPI 1063522647

Title

Owner

Phone

(704) 746-0022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Stewart, PT, DPT, OCS

  • Physical Therapist
  • China Grove, NC
  • NPI 1063522647
  Medicare reassignment NPD Authorized official
• Jacob Adam Papale, PTA

  • Physical Therapy Assistant
  • Statesville, NC
  • NPI 1811864291
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1023723798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 RIDING TRL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179165",
            "telephone_number": "704-578-1374",
            "fax_number": "980-443-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 CINEMA DR STE C",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286255403",
            "telephone_number": "980-443-6070",
            "fax_number": "980-443-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-746-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, DN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Alan Abell, MD
• James Curtis Abell, MD
• Ability Care Solutions
• Colleen Janelle Abrams, BCBA
• Ken Absher
• Accordius Health at Statesville LLC
• Tania Mimi Acevedo, M.D.
• Active Chiropractic Rehab and Acupuncture
• Heidi Rae Adams, DPT
• Jeffery A Adams, MD

• Physical Therapist in Statesville, NC
• Providers in Statesville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.