Katherine Sophie Cusack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11158 Issued in NC

Practice address

5960 Fairview Rd
Suite 250
Charlotte, NC 28210-3102

Phone

(980) 224-7958

Fax

(980) 224-7973

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Sophie Dusik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1679757231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 CAMROSE CROSSING LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281046831",
            "telephone_number": "224-392-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD",
            "address_2": "SUITE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103102",
            "telephone_number": "980-224-7958",
            "fax_number": "980-224-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "KATHERINE",
        "middle_name": "SOPHIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DUSIK",
            "middle_name": "SOPHIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica L Curtis, SLP
• Samantha Forlenza Curtis, MD
• Susan Edwards Curtis, MD
• Toni Curtis, CD,CCE, CHW, CLC
• Christina Jenkins Curts, MHS, LPC, CRC
• Arthur Irving Cushing, D.C.
• Dalena Mae Custer, PA-C
• Robert Custrini, PH.D.
• Jessica Cusumano, OTR
• Cicely Cuthbertson

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.