NPIMap

Individual provider Active NPI

Cheryl L Thomas, PT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1639306830
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10798 Issued in NC
Practice address
14330 Oakhill Park LN
Suite 115
Huntersville, NC 28078-3314
Phone
(704) 316-1265
Fax
(704) 316-1266
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 10798 NC Primary

Addresses

Primary practice location

14330 Oakhill Park LN
Suite 115
Huntersville, NC 28078-3314

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1265

Other identifiers 1

IdentifierTypeStateIssuer
1639306830MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CTHOMAS34386@DIRECT.NOVANTHEALTH.ORG

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000454 NC Practitioner - Physical Therapist in Private Practice 9739232307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10798NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Physical Therapist CurrentSince Aug 19, 2009 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 19, 2009 Accepting new patients
Innovative Physical Therapy, LLC Current Accepting new patients
Athelite Physical Performance Center of Lake Norman, LLC Physical Therapist Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: cthomas34386@direct.novanthealth.org

Organizations & group practices 6

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1639306830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-1265",
            "fax_number": "704-316-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN",
            "address_2": "SUITE 115",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783314",
            "telephone_number": "704-316-1265",
            "fax_number": "704-316-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639306830",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CTHOMAS34386@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "14330 Oakhill Park Ln",
            "address_2": "Suite 115",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280783314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.