Organization Active NPI

Carolina Dancer Wellness

  • Sports Physical Therapist
  • Cary, NC
National Provider Identifier
1932683299
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
CAROLINA DANCER WELLNESS
Practice address
216 E Chatham St
Cary, NC 27511-3499
Phone
(919) 415-1318
NPI assigned
Sep 21, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Lisa Keskitalo, DPTNPI 1942776232
Title
Physical Therapist
Phone
(919) 415-1318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

216 E Chatham St
Cary, NC 27511-3499

Mailing address

PO Box 329
Morrisville, NC 27560-0329
Phone (919) 251-5775

National Provider Directory

National Provider Directory

Locations

216 E Chatham St
Cary, NC 27511
Phone (919) 251-5775

719 Broad St
Durham, NC 27705
Phone (919) 280-6394

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1932683299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275600329",
            "telephone_number": "919-251-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113499",
            "telephone_number": "919-415-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DANCER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "KESKITALO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-415-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.