Individual provider Active NPI

Cheyne Michael Kulessa, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1508536335
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20007 Issued in NC
Practice address
1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Phone
(919) 748-4980
Fax
(919) 816-2012
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20007 NC Primary

Addresses

Primary practice location

1821 Martin Luther King Pkwy
Durham, NC 27707-6336

Mailing address

981 High House Rd Ste 100
Cary, NC 27513-3510
Phone (919) 388-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002317 NC Practitioner - Physical Therapist in Private Practice 5991103566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175

75 Freedom Pkwy
Suite E
Pittsboro, NC 27312-4939
Phone (984) 215-3260

981 High House Rd
Suite 100
Cary, NC 27513-3510
Phone (919) 388-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P20007NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 19, 2022 Accepting new patients
Chatham Hospital, Inc. CurrentSince Nov 6, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Avance Care, PA CurrentSince Sep 23, 2021 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

3814 Rural Retreat Rd
Ste 103
Burlington, NC 27215
Phone (743) 241-3020

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

75 Freedom Pkwy
Ste E
Pittsboro, NC 27312
Phone (984) 215-3260

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1508536335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133510",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 MARTIN LUTHER KING PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076336",
            "telephone_number": "919-748-4980",
            "fax_number": "919-816-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESSA",
        "first_name": "CHEYNE",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.