Active NPI
Theunisse PT Inc
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1366782500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P10953
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.