Citypt Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CITYPT INC

Practice address

555 S Mangum St Ste 100
Durham, NC 27701-4689

Phone

(217) 298-2020

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Shirk

Title

Ceo

Phone

(919) 298-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CO2 enrollments

Enrollment records 2

Locations

Practitioners 9

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

• Hollie Champion Goldberg

  • Physical Therapist
  • Charlotte, NC
  • NPI 1245841733
  Medicare reassignment NPD
• David Fathalikhani

  • Physical Therapist
  • Golden, CO
  • NPI 1629524590
  Medicare reassignment NPD
• Kristin Kathleen Green, DPT, OCS

  • Physical Therapist
  • Missoula, MT
  • NPI 1669676912
  NPD
• June Suparatana Srisethnil, PT

  • Physical Therapist
  • Portland, OR
  • NPI 1326107087
  NPD
• Beverly Gail Eisenoff, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1588738942
  NPD (past)
• Emily Anna Jones, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1588250922
  NPD (past)
• Jonathan Miller Kromer, LCSW, CSW-G

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1114192002
  NPD (past)
• Chantal Elisabeth Otelsberg, M.S., R.D., L.D.N.

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1538690961
  NPD (past)
• Dawn Michelle Jett, LCSW

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1265596274
  NPD (past)

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1891452033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "919-298-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "217-298-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "SHIRK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-298-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathyrn Roys Cirillo
• Miguel Antonio Cisneros, LCSW-A
• Sindhura Citineni, DDS
• City of Jesus Promise Land, LLC
• City of Medicine Volunteer Medical Corps
• CJM Holdings LLC
• Kelsey Ann Clabby, MD
• John Preston Claiborne, MD
• Carolina P Clancy, PH.D.
• Renn Deanna Clapp

• Physical Therapist in Durham, NC
• Providers in Durham, 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 Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.