Active NPI
Teodor C Cenadic, DPT
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1750568853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11001
- Practice address
- 2675 Court Dr
Gastonia, NC 28054-1478 - Phone
- (704) 824-7800
- Fax
- (704) 824-7898
- NPI assigned
- Jan 31, 2008
- Last updated
- Jan 31, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11001 | NC | Primary |
Addresses
Primary practice location
2675 Court Dr
Gastonia, NC 28054-1478
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1750568853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-7800",
"fax_number": "704-824-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENADIC",
"first_name": "TEODOR",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Walter Harry Caulfield III, MD
- Bailey Janean Cavanaugh, PA
- Jackson Tobin Cavanaugh, DPT
- Collytte Diana Cederstrom
- Austin Cehelsky, PHARMD
- Center for Emotional Health
- Center for Vein Restoration NC PLLC
- Centerwell Pharmacy, Inc.
- Centerwell Senior Primary Care (NC) PC (CenterWell Senior Primary Care-Gastonia)
- Century Care of Gastonia, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.