Individual provider Active NPI

Paige Mroz, DPT, ATC

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1013481068
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23524 Issued in NC
Practice address
9405 Bryant Farms Rd
Charlotte, NC 28277-1642
Phone
(980) 207-2707
Fax
(980) 207-2783
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X P23524 NC Primary

Addresses

Primary practice location

9405 Bryant Farms Rd
Charlotte, NC 28277-1642

Mailing address

9405 Bryant Farms Rd
Charlotte, NC 28277-1642
Phone (980) 207-2707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002955 NC Practitioner - Physical Therapist in Private Practice 2769918648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Architech Sports and Physical Therapy LLCGroup PAC ID 5496819914, 44 clinicians

Practice addresses (Care Compare)

9405 Bryant Farms Rd
Charlotte, NC 28277-1642
Phone (980) 207-2707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC CurrentSince Oct 24, 2024 Accepting new patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Oct 24, 2024 Accepting new patients

Locations

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

9405 Bryant Farms Rd
Charlotte, NC 28277
Phone (980) 207-2707

8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357

Organizations & group practices 2

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": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1013481068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 BRYANT FARMS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771642",
            "telephone_number": "980-207-2707",
            "fax_number": "980-207-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 BRYANT FARMS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771642",
            "telephone_number": "980-207-2707",
            "fax_number": "980-207-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "PAIGE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23524",
            "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 Oct 20, 2024; 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.