Individual provider Active NPI

Cathy L.W. Damm

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1649486580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3994 Issued in NC
Practice address
5515 Rea Rd
Charlotte, NC 28226-3446
Phone
(704) 759-3010
NPI assigned
May 15, 2007
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 3994 NC Primary

Addresses

Primary practice location

5515 Rea Rd
Charlotte, NC 28226-3446

Mailing address

104 Bubbling Creek CT
Fort Mill, SC 29715-8739
Phone (803) 802-7996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250228000992 NC Practitioner - Physical Therapist in Private Practice 4587980115 Reassigns benefits to 2 organizations
I20250404003070 SC Practitioner - Physical Therapist in Private Practice 4587980115 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3994NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reinvent Health Inc Physical Therapist CurrentSince Jan 28, 2025 Accepting new patients
Prava PC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

900 Trail Ridge Rd
Ste 101
Aiken, SC 29803
Phone (405) 821-6648

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649486580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUBBLING CREEK CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158739",
            "telephone_number": "803-802-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263446",
            "telephone_number": "704-759-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMM",
        "first_name": "CATHY",
        "middle_name": "L.W.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.