Active NPI
Theresa M Depaoli-Dunn, PT MS OCS
- Physical Therapist
- Cary, NC
National Provider Identifier
1649297003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6820
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6698159 | Other | NC | GHI |
| 836260 | Other | NC | ACN MPN UHC |
| 1139H | Other | NC | BCBS |
| 2047616 | Other | NC | AETNA HMO |
| 7210400 | Medicaid | NC | |
| 5603358 | Other | NC | AETNA PPO |
| 1349287 | Other | NC | ACN MPN UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6820 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Partners | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | 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.
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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.