Individual provider Active NPI

Michael Patrick Severance-Helms, PTA

  • Physical Therapy Assistant
  • Charlotte, NC
National Provider Identifier
1003759499
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A8006 Issued in NC
Practice address
2400 W Mallard Creek Church Rd Ste a
Charlotte, NC 28262-2325
Phone
(704) 430-6733
NPI assigned
Apr 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A8006 NC Primary

Addresses

Primary practice location

2400 W Mallard Creek Church Rd Ste a
Charlotte, NC 28262-2325

Mailing address

196 Briana Marie Way
Indian Trail, NC 28079-6879
Phone (704) 430-6733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A8006NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1003759499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BRIANA MARIE WAY",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796879",
            "telephone_number": "704-430-6733",
            "fax_number": "704-430-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MALLARD CREEK CHURCH RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622325",
            "telephone_number": "704-430-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERANCE-HELMS",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.