Active NPI
Alexis Nottage, PT, DPT
- Physical Therapist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 13655 Providence Rd
Matthews, NC 28104-9373 - Phone
- (704) 246-7050
- NPI assigned
- Aug 10, 2022
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
13655 Providence Rd
Matthews, NC 28104-9373
Mailing address
5682 Green Dale CT
Summerfield, NC 27358-9156
Phone (336) 580-4353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16455 Statesville Rd
Suite 300
Huntersville, NC 28078-7139
Phone (704) 801-3719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Action Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Atrium Health Specialty Network Inc | Physical Therapist | Current | Accepting new patients |
| The Grenda Group LLC | Physical Therapist | Current | Accepting new patients |
| Weddington Chiropractic Wellness Center | Past | Accepting new patients |
Locations
4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100
16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719
101 Y M C a Dr
Ste 119
Kannapolis, NC 28081
Phone (980) 402-1208
13655 Providence Rd
Weddington, NC 28104
Phone (704) 246-7050
Interoperability endpoints
- anottage1153319@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Dermatology
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
Physical Therapist
-
- Physical Therapist
- Matthews, NC
- NPI 1518779495
-
dba Weddington Physical Therapy and Wellness
- Physical Therapist
- Weddington, NC
- NPI 1912343765
-
- Nutrition Chiropractor
- Weddington, NC
- NPI 1245256841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1003544891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5682 GREEN DALE CT",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589156",
"telephone_number": "336-580-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13655 PROVIDENCE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281049373",
"telephone_number": "704-246-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTTAGE",
"first_name": "ALEXIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #01737)
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #07492)
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #16342)
- North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #02877)
- Northland Hearing Centers, Inc. (Hearing Sense)
- Nova Transformations, LLC.
- Jason Louis Novak, PT
- Novant Health Employer Solutions, LLC (Novant Health Occupational Medicine)
- Novant Health Employer Solutions, LLC (Novant Health Occupational Medicine - Matthews)
- Novant Health Enterprises Imaging, LLC (Novant Health Imaging Park Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.