Individual provider Active NPI

Obed Kamunga Mulenda, DPT

  • Physical Therapist
  • Fuquay Varina, NC
National Provider Identifier
1942955489
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21064 Issued in NC
Practice address
401 Attain St Ste 121
Fuquay Varina, NC 27526-2704
Phone
(919) 557-3017
NPI assigned
Feb 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21064 NC Primary

Addresses

Primary practice location

401 Attain St Ste 121
Fuquay Varina, NC 27526-2704

Mailing address

1501 Woodway Club Dr Apt 337
Durham, NC 27713-8329
Phone (919) 758-0829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909002301 NC Practitioner - Physical Therapist in Private Practice 0840675963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians
North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 12, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 2, 2022 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 5, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 2, 2022 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Mar 5, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1942955489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WOODWAY CLUB DR APT 337",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138329",
            "telephone_number": "919-758-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ATTAIN ST STE 121",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262704",
            "telephone_number": "919-557-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULENDA",
        "first_name": "OBED",
        "middle_name": "KAMUNGA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.