Pulse Sportz Foundation Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PULSE SPORTZ FOUNDATION INC

Practice address

818 Friendly PL
Charlotte, NC 28213-5800

Phone

(704) 496-0501

NPI assigned

Sep 10, 2013

Organization subpart

Yes

Parent organization

PULSESPORTZ FOUNDATION INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Smith

Title

Pres.

Phone

(704) 496-0501

Specialties & licenses 6

Addresses

Other names 1

• brighter tomorrow Other name

Tax ID family

Brighter Tomorrow2 organizations share this tax ID, including this one

Part of

Project Independence

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pulsesportz Foundation

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1568867836
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pulsesportz Foundation

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1568867836
  NPPES parent name

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1669807533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 FRIENDLY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135800",
            "telephone_number": "704-496-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 FRIENDLY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135800",
            "telephone_number": "704-496-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE SPORTZ FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PULSESPORTZ FOUNDATION INC",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "704-496-0501"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brighter tomorrow",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allura Pulliam, LPCA
• Lexie Tanner Pulliam
• Morgan Pullium, CRNA
• Pulse Sport Wear Inc
• Pulse Sport Wear Inc (the pulse wear)
• Pulsesportz Foundation
• Emily Puma
• Kristine Ann Pumpa, DPT
• Eomba Pungu, FNP
• Tsha Edith Pungu

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.