Cheryl C Pfruender, PT, DPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10100 Issued in NC

Practice address

2828 Maplewood Ave
Suite a
Winston Salem, NC 27103-4138

Phone

(336) 765-4703

Fax

(336) 765-4703

NPI assigned

Aug 25, 2006

Last updated

Nov 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheryl E Canupp Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1558598532
  Medicare reassignment Care Compare group
• Austin-Caputo Physical Therapy Services, Inc.

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1235175340
  NPD (past)
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1558478222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAPLEWOOD AVE",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-765-4703",
            "fax_number": "336-765-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFRUENDER",
        "first_name": "CHERYL",
        "middle_name": "C",
        "credential": "PT, DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "CANUPP",
            "middle_name": "E",
            "credential": "PT, DPT, MTC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sari Pfeifer
• Keven Pfenning, DPT
• Elizabeth Pflug, CRNA
• Thea Marie Pflum, PA
• Karen Pfotenhauer, ARNP
• Justin Charles Pfruender, DPT
• Alice Phuong Quynh Pham, MD
• Jamie Pham, DO
• Quoc Pham
• Theresa Pham

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.