Paul E. Underwood, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P2647 Issued in NC

Practice address

3843 Mount Beulah Rd
Sherrills Ford, NC 28673-7804

Phone

(888) 624-1644

NPI assigned

Jan 8, 2009

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Imf2, Inc.

  dba In Motion Fitness Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Mooresville, NC
  • NPI 1942447297
  NPD (past) Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1841437118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 MOUNT BEULAH RD",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286737804",
            "telephone_number": "838-662-0605",
            "fax_number": "949-561-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 MOUNT BEULAH RD",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286737804",
            "telephone_number": "888-624-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 River Hwy",
            "address_2": "Unit C",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176828",
            "country_code": "US",
            "telephone_number": "704-660-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "PAUL",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P2647",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P2647",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Lymphedema Therapy PLLC
• Paul G. Taylor, R.PH., CFTS
• Jennifer Terry
• Angela F Thomas, LMFT
• Hannah Tiwaah
• Natalie J Warta, LCSW
• Vivian Delaine White
• Willow Haven Counseling, PLLC.

• Physical Therapist in Sherrills Ford, NC
• Providers in Sherrills Ford, 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 Sep 10, 2021; 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.