Individual provider Active NPI

Lori Ann Kunak, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1801432927
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6326 Issued in NC
Practice address
809 John D Barry Dr
Wilmington, NC 28412-0983
Phone
(910) 799-4999
NPI assigned
Nov 24, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 6326 NC Primary

Addresses

Primary practice location

809 John D Barry Dr
Wilmington, NC 28412-0983

Mailing address

775 Haywood Rd Ste H
Asheville, NC 28806-7111
Phone (828) 774-5222

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

LicenseStateTypeSpecialty
6326NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewater Physician Services PastSince Dec 1, 2019 Accepting new patients
Broad River Rehabilitation Physical Therapist PastSince Dec 1, 2019 Accepting new patients

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1801432927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE H",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JOHN D BARRY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120983",
            "telephone_number": "910-799-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAK",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.