Steven James Underwood, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13001 Issued in NC

Practice address

Aldersgate CCRC
3800 Shamrock Drive
Charlotte, NC 28078

Phone

(412) 692-0570

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1922644830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 GLADE CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785247",
            "telephone_number": "412-692-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALDERSGATE CCRC",
            "address_2": "3800 SHAMROCK DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "412-692-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "PT13001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aldersgate@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "work e mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Aldersgate CCRC",
            "address_2": "3800 Shamrock Drive",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Understanding Arms
• Gregory Underwood, MD
• Jenni Speight Underwood
• Quashetta Underwood
• Randall Ung, MD, PHD
• Unhs
• Unique Blessings Non Profit Organization
• Unique Boutique Inc
• Unique Boutique Inc

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, 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 26, 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.