CAROLINA'S SPINE AND SPORTS TREATMENT CENTER, PLLC (NPI# 1316102130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316102130 |
| Entity Type | Organization |
| Organization Name | CAROLINA'S SPINE AND SPORTS TREATMENT CENTER, PLLC |
| Practice Address |
525 N Tryon St Suite 1615 Charlotte NC 28202-0200 |
| Mailing Address |
100 N Tryon St Ste B220-pmb 146 Charlotte NC 28202-4000 |
| Practice Telephone | 6176998541 |
| Mailing Telephone | 6176998541 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DR. MATTHEW JAMES HARGREAVES (OWNER/DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 6176998541 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3450 | NC | Chiropractic Providers |
| Street Address |
525 N TRYON ST SUITE 1615 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303108 | Matthew James Hargreaves | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2006-10-23 |
| 1710597612 | Tashecka Renee Davis | Counselor | 525 N Tryon St, Charlotte, NC 28202-0202 | 2020-08-05 |
| 1477035566 | Samantha Diana Caouette | Behavior Technician | 525 N Tryon St, Charlotte, NC 28202-0202 | 2018-09-05 |
| 1699202317 | Paymon Kazemeini | Behavior Technician | 525 N Tryon St, Ste 600, Charlotte, NC 28202-0202 | 2017-05-11 |
| 1841622792 | Centralina Council of Governments Area Agency On Aging | Health Educator | 525 N Tryon St, 12th Floor, Charlotte, NC 28202-0202 | 2013-08-02 |
| 1700186426 | Mary Jane Marshall | Dentist | 525 N Tryon St, Suite 1600, Pmb 209, Charlotte, NC 28202-0202 | 2010-10-28 |
| 1013233543 | Collins Youth Homes, Inc | Community/Behavioral Health | 525 N Tryon St, Suite 1600, Charlotte, NC 28202-0202 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
| 1821168725 | Timothy Patrick Clare | Chiropractor | 13209 Carowinds Blvd Ste G, Charlotte, NC 28273-6735 | 2006-11-08 |
| 1144303108 | Matthew James Hargreaves | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2006-10-23 |
| 1396840823 | Edward Joseph Steel | Chiropractor | 1409 Pierson Dr, Charlotte, NC 28205-6445 | 2006-09-13 |
| 1043226640 | Steven Craig Mcareavy | Chiropractor | 212 S Tryon St, Suite 11, Charlotte, NC 28281-0001 | 2006-08-01 |
| 1346291424 | Craig A Schulman | Chiropractor | 8316 Pineville Matthews Rd, 806, Charlotte, NC 28226-4754 | 2006-05-13 |
| 1619954005 | William Mitchell Blitstein | Chiropractor | 2305 E Wt Harris Blvd, Ste 102, Charlotte, NC 28213 | 2005-12-27 |
| 1487796157 | Steel Chiropractic Clinic P.a. | Chiropractor | 1409 Pierson Dr, Charlotte, NC 28205-6445 | 2007-02-12 |
| 1891875779 | Laurie Grovine | Chiropractor | 10701 Park Rd, Suite G, Charlotte, NC 28210-8492 | 2006-10-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.