Individual provider Active NPI

Theresa M Depaoli-Dunn, PT MS OCS

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1649297003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6820 Issued in NC
Practice address
3701 NW Cary Parkway
Suite 301
Cary, NC 27513
Phone
(919) 388-0111
Fax
(919) 388-8668
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6820 NC Primary

Addresses

Primary practice location

3701 NW Cary Parkway
Suite 301
Cary, NC 27513

Mailing address

3701 NW Cary Parkway
Suite 301
Cary, NC 27513
Phone (919) 388-0111

Other identifiers 7

IdentifierTypeStateIssuer
6698159OtherNCGHI
836260OtherNCACN MPN UHC
1139HOtherNCBCBS
2047616OtherNCAETNA HMO
7210400MedicaidNC
5603358OtherNCAETNA PPO
1349287OtherNCACN MPN UHC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000476 NC Practitioner - Physical Therapist in Private Practice 2163510645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy PartnersGroup PAC ID 4082956958, 6 clinicians

Practice addresses (Care Compare)

160 NE Maynard Rd
Suite 104
Cary, NC 27513-9675
Phone (919) 535-3011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6820NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Partners Physical Therapist CurrentSince Mar 4, 2019 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Nov 1, 2014 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

160 NE Maynard Rd
Ste 104
Cary, NC 27513
Phone (919) 535-3011

1204 Village Market Pl
Morrisville, NC 27560

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649297003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 NW CARY PARKWAY",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "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": "3701 NW CARY PARKWAY",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLI-DUNN",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT MS OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698159",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN MPN UHC",
            "identifier": "836260",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1139H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2047616",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210400",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5603358",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN MPN UHC",
            "identifier": "1349287",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.