Organization Active NPI

Theunisse PT Inc

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1366782500
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P10953 Issued in NC
Legal business name
THEUNISSE PT INC
Practice address
8832 Blakeney Professional Dr
Ste. 100
Charlotte, NC 28277-6809
Phone
(704) 817-6718
Fax
(704) 817-7887
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Mrs. Laura Anne Theunisse, PT
Title
President
Phone
(704) 425-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P10953 NC Primary

Addresses

Primary practice location

8832 Blakeney Professional Dr
Ste. 100
Charlotte, NC 28277-6809

Mailing address

8000 Bridger PT
Waxhaw, NC 28173-7243
Phone (704) 425-3300

National Provider Directory

National Provider Directory

Locations

5207 Weddington Rd
Matthews, NC 28104

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1366782500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BRIDGER PT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737243",
            "telephone_number": "704-425-3300",
            "fax_number": "704-817-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 BLAKENEY PROFESSIONAL DR",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776809",
            "telephone_number": "704-817-6718",
            "fax_number": "704-817-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEUNISSE PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "THEUNISSE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-425-3300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.