Active NPI
Troy Calungsud, PT, DPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1184458085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11382
- Practice address
- 12801 Pegasi Way
Raleigh, NC 27614-8382 - Phone
- (848) 391-0442
- NPI assigned
- Sep 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | P11382 | NC | Primary |
Addresses
Primary practice location
12801 Pegasi Way
Raleigh, NC 27614-8382
Mailing address
12801 Pegasi Way
Raleigh, NC 27614-8382
Phone (848) 391-0442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P11382 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1184458085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 PEGASI WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148382",
"telephone_number": "848-391-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 PEGASI WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148382",
"telephone_number": "848-391-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALUNGSUD",
"first_name": "TROY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.