Untapped Potential Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P10783 Issued in NC

Legal business name

UNTAPPED POTENTIAL PHYSICAL THERAPY, LLC

Practice address

1230 SE Maynard Rd
Suite 102
Cary, NC 27511-6945

Phone

(919) 659-8542

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By 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

Mrs. Tracy Eisenbeis, PTNPI 1437257862

Title

Physical Therapist/ Owner

Phone

(704) 692-1087

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tracy Estelle Eisenbeis, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1437257862
  Authorized official Same address or phone

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1609250216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD",
            "address_2": "SUITE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD",
            "address_2": "SUITE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-659-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTAPPED POTENTIAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "EISENBEIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "704-692-1087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P10783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of North Carolina at Chapel Hill (UNC Orthopaedics at Panther Creek)
• University of North Carolina Health Care System (UNC Pharmacy at Panther Creek)
• University of North Carolina Hospitals at Chapel Hill (UNC Audiology Services)
• Amy Unruh, M.A., CCC-SLP
• Caroline Nicole Unruh, MSW
• Savitha R Upadhya, M.D.
• Jack Upchurch
• Preston Urbanek
• Tracey A Urbansok, OTR/L
• Christine Marie Urdi

• Physical Therapy Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.