Active NPI
Tyrone Edward Pitt Jr., DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- P22321
- Practice address
- 136 Corporate Park Dr Ste a
Mooresville, NC 28117-6960 - Phone
- (704) 360-2796
- Fax
- (704) 360-2798
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | P22321 | NC | Primary |
Addresses
Primary practice location
136 Corporate Park Dr Ste a
Mooresville, NC 28117-6960
Mailing address
136 Corporate Park Dr Ste a
Mooresville, NC 28117-6960
Phone (704) 360-2796
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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 Corporate Park Dr
Suite a
Mooresville, NC 28117-6960
Phone (704) 360-2796
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22321 | NC | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Saylor Physical Therapy | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
136 Corporate Park Dr
Ste A
Mooresville, NC 28117
Phone (704) 360-2796
Organizations & group practices 4
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.
-
- Specialist
- Mooresville, NC
- NPI 1871860767
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1659159143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 CORPORATE PARK DR STE A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176960",
"telephone_number": "704-360-2796",
"fax_number": "704-360-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CORPORATE PARK DR STE A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176960",
"telephone_number": "704-360-2796",
"fax_number": "704-360-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITT",
"first_name": "TYRONE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NC",
"license": "P22321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.