SPORTS AND SPINE PHYSICAL THERAPY NC INC (NPI# 1982651618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982651618 |
| Entity Type | Organization |
| Organization Name | SPORTS AND SPINE PHYSICAL THERAPY NC INC |
| Other Organization Name | SPORTSPINE |
| Practice Address |
3627 Beatties Ford Rd Charlotte NC 28216-3249 |
| Practice Telephone | 7043946677 |
| Mailing Telephone | 7043946677 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | LEON ANDERSON III (PRESIDENT) |
| Authorized Official Telephone | 2165937070 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7212192 | 05 | |
| SC | GP4663 | 05 |
| Other Name | Type Code |
|---|---|
| Sportspine | Doing Business As Name - Organization |
| Street Address |
3627 BEATTIES FORD RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612374 | Patrick E Evivie | Internal Medicine | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-01-09 |
| 1417418039 | Rahsan Demarcus Mcmillan | Physical Therapist | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2019-03-27 |
| 1508938598 | Corey Alexander May | Physical Therapist | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-11-14 |
| 1912084013 | Kim Kerry Neely | Physician Assistant | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-11-01 |
| 1013974864 | Bomray Medical Clinic | Clinic/Center | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-04-26 |
| 1689630691 | Hans Kwaku | Family Medicine | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1316563208 | Meaningful Movement LLC | Clinic/Center | 6314 Autumn Moss Ct, Charlotte, NC 28277-3514 | 2020-06-17 |
| 1952925885 | Inertia Physical Therapy LLC | Clinic/Center | 2700 Coltsgate Rd Ste 105, Charlotte, NC 28211-3573 | 2020-06-06 |
| 1063064061 | Go Pt First Inc. | Clinic/Center | 17059 Commons Creek Dr, Charlotte, NC 28277-2080 | 2019-07-10 |
| 1215596978 | Fundamental Physical Therapy LLC | Clinic/Center | 9517 Saddle Run Trl, Charlotte, NC 28269-0383 | 2019-06-06 |
| 1346808136 | Queen City Pelvic Pt | Clinic/Center | 5009 Erickson Rd, Charlotte, NC 28205-7319 | 2019-06-05 |
| 1639687965 | Pin Point Physical Therapy, LLC | Clinic/Center | 13939 Rocky Gap Ln, Charlotte, NC 28278-8615 | 2018-01-22 |
| 1932611324 | Charlotte One On One Physical Therapy | Clinic/Center | 4310 Park Rd Apt 103, Charlotte, NC 28209-0006 | 2017-10-25 |
| 1861934010 | Physical Therapy Center Two, LLC | Clinic/Center | 2400 South Blvd., Charlotte, NC 28203 | 2016-11-04 |
| 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.