Organization Active NPI

The Therapy Center of Cedar Point

  • Physical Therapist
  • Cedar Point, NC
National Provider Identifier
1043331515
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE THERAPY CENTER OF CEDAR POINT
Practice address
702 Cedar Point Blvd
Cedar Point, NC 28584
Phone
(252) 393-8828
Fax
(252) 393-7928
NPI assigned
Apr 3, 2007
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Mr. Fnu Rituraj
Title
President
Phone
(252) 393-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

702 Cedar Point Blvd
Cedar Point, NC 28584

Mailing address

702 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-8828

Other identifiers 2

IdentifierTypeStateIssuer
017F4OtherNCBLUE CROSS
7211966MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000855 NC Part B Supplier - Clinic/Group Practice 2466472287 Receives reassigned benefits from 5 practitioners
Practice locations: Cedar Point, NC

National Provider Directory

National Provider Directory

Locations

530 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-8828

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1043331515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "252-393-8828",
            "fax_number": "252-393-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "252-393-8828",
            "fax_number": "252-393-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY CENTER OF CEDAR POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "RITURAJ",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-393-8828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "017F4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211966",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.