Deborah Dunn L.L.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DEBORAH DUNN L.L.C.

Doing business as

Trailblaze PT & Performance

Practice address

40 Lone Pine Dr
Saluda, NC 28773-9761

Phone

(561) 504-6511

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Deborah Dunn, PT, DPT, OCSNPI 1558763946

Title

Physical Therapist, Member

Phone

(561) 504-6511

Specialties & licenses 1

Addresses

Other names 1

• Trailblaze PT & Performance Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Deborah Michelle Dunn, PT

  • Physical Therapist
  • Saluda, NC
  • NPI 1558763946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1023894987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LONE PINE DR",
            "city": "SALUDA",
            "state": "NC",
            "postal_code": "287739761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LONE PINE DR",
            "city": "SALUDA",
            "state": "NC",
            "postal_code": "287739761",
            "telephone_number": "561-504-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DUNN L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, MEMBER",
        "authorized_official_telephone_number": "561-504-6511",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trailblaze PT & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Jackson Broyles, MD
• Jennifer Carragher
• Clifford Lloyd Clark Jr., C.O.T.A/L
• Melinda Tapia Clark, COTA/L
• Theresa Davis, FNP
• Donna Dewan, LPC
• Deborah Michelle Dunn, PT
• Fletcher Hospital Inc (AdventHealth Family Medicine & Behavioral Health Clinic Saluda)
• William Scott Gaske
• Angela Marie Gupta-Thomas, PHD, LCSW

• Physical Therapy Clinic/Center in Saluda, NC
• Providers in Saluda, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.