Theresa Walker Utt, CMF

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CFM02814 Issued in DE

Practice address

2571 Pembroke Rd
Gastonia, NC 28054-4712

Phone

(704) 691-7145

Fax

(704) 691-7631

NPI assigned

Jan 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kinetic Orthotics & Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Gastonia, NC
  • NPI 1962749838
  NPD
• Mid-Atlantic Prosthetics-East, LLC

  • Prosthetic/Orthotic Supplier
  • Baltimore, MD
  • NPI 1073712766
  NPD

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1477975035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "704-691-7145",
            "fax_number": "704-691-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "704-691-7145",
            "fax_number": "704-691-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "THERESA",
        "middle_name": "WALKER",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "DE",
            "license": "CFM02814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Medical Clinic, PC
• Unity 4 US Community Outreach
• Nitesh Upadhyay, MD
• Kaitlyn Urbaniak, LCSW
• Brandy Nicole Ussery
• Steve Eleftheris Vacalis, D.O.
• Soumya Vaish, D.M.D.
• Francisco Antonio Valedon, M.D.
• Valerie Holmes Waddell, DDS, PA
• Abigail Valiquette

• Mastectomy Fitter in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mastectomy Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.