The PT Blueprint, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE PT BLUEPRINT, LLC

Practice address

5660 Rivers Ave Ste B
North Charleston, SC 29406-6092

Phone

(440) 225-1425

NPI assigned

Mar 4, 2024

Last updated

Feb 24, 2026By 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

Dr. Cody Gordon Gunselman, PT, DPT, OCSNPI 1609336213

Title

Owner

Phone

(440) 225-1425

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Cody Gordon Gunselman, DPT

  • Physical Therapist
  • North Charleston, SC
  • NPI 1609336213
  Medicare reassignment NPD Authorized official
• Zachary Giamundo

  • Physical Therapist
  • North Charleston, SC
  • NPI 1659234938
  Medicare reassignment

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1407613870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 HOUSTON ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058630",
            "telephone_number": "440-225-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 RIVERS AVE STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066092",
            "telephone_number": "440-225-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PT BLUEPRINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "GUNSELMAN",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-225-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.