Laura Anne Theunisse, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P10953 Issued in NC

Practice address

13635 Providence Rd
Weddington, NC 28104

Phone

(704) 457-0043

Fax

(704) 814-0224

NPI assigned

Feb 6, 2013

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)

Enrolled

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1629317987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776809",
            "telephone_number": "704-817-6718",
            "fax_number": "704-817-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "704-457-0043",
            "fax_number": "704-814-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUNISSE",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P10953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Allison Smith, DPT
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• Allison Valeri, PT, DPT
• Shimul Vasa, RPH
• Chris Vrabel, PSY.D.

• Orthopedic Physical Therapist in Weddington, NC
• Providers in Weddington, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.