Physiofocus Orthopedic and Sports Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11158 Issued in NC

Legal business name

PHYSIOFOCUS ORTHOPEDIC AND SPORTS THERAPY LLC

Practice address

7239 Pineville Matthews Rd
Suite 400
Charlotte, NC 28226-6153

Phone

(980) 224-7958

Fax

(980) 224-7973

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Cusack

Title

Operations Manager

Phone

(224) 392-4872

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Diane Mierzwa, DPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1669431003
  NPD
• Kerri P Dixon, PT

  • Physical Therapist
  • Clinton, MS
  • NPI 1588612535
  NPD
• Michael Jon Moran, P.T., D.P.T.

  • Physical Therapist
  • Draper, UT
  • NPI 1467698746
  NPD
• Melanie Diane Lambert, DPT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1508093279
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1891052601",
    "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": "7239 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266153",
            "telephone_number": "980-224-7958",
            "fax_number": "980-224-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOFOCUS ORTHOPEDIC AND SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "224-392-4872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "11158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center Two, LLC (Physical Therapy Center, LLC)
• Physical Therapy Consultants Inc (KCP Physical Therapy)
• Physical Therapy for the Carolinas (PT for the Carolinas)
• Physician Home Care (Physicians Home Care)
• Physician Wellness Professional Association
• Physiotherapy Associates Inc.
• Physiotherapy Associates, Inc.
• Phytcare LLC
• Phytcare LLC
• Dana P. Piasecki, M.D

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.