Fundamental Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FUNDAMENTAL PHYSICAL THERAPY LLC

Practice address

9517 Saddle Run TRL
Charlotte, NC 28269-0383

Phone

(704) 509-4141

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Jean Ryan, PTNPI 1669482634

Title

Physical Therapist

Phone

(704) 509-4141

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Darlene J Ryan, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1669482634
  NPD Authorized official

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1215596978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 SADDLE RUN TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690383",
            "telephone_number": "704-509-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 SADDLE RUN TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690383",
            "telephone_number": "704-509-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "704-509-4141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sir Wesley Funchess Jr., PA
• Julia Marie Funck, DO
• Function and Performance Chiropractic
• Functionalcare 360
• Fund-a-Mental in Education Training & Consulting
• Amanda Hudgins Funderburg, PHARMD
• Jamarr J Funderburg, LCSW, LCAS, CCS
• Teneika Clifton Funderburk
• Manuela Fungate
• Susan Elizabeth Funk, PSY.D.

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, 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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.