Active NPI
Shaun M Riney, PHYSICAL THERAPY
- Physical Therapist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P10029
- Practice address
- 1205 Mann Dr
Matthews, NC 28105-7592 - Phone
- (704) 323-3278
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 17, 2024
- Sex
- Male
- 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 | P10029 | NC | Primary |
Addresses
Primary practice location
1205 Mann Dr
Matthews, NC 28105-7592
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Other practice location 1
15825 Ballantyne Medical Pl
Suite 120
Charlotte, NC 28277-4652
Phone (704) 323-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211864 | Medicaid | NC | |
| 079XR | Other | NC | BCBSNC |
| 185970 | Other | NY | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10029 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
Locations
15825 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 323-3400
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
703 Comfort Ln
Monroe, NC 28112
Phone (704) 226-9550
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1063429314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MANN DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281057592",
"telephone_number": "704-323-3278"
}
],
"practiceLocations": [
{
"address_1": "15825 Ballantyne Medical Pl",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282774652",
"country_code": "US",
"telephone_number": "704-323-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RINEY",
"first_name": "SHAUN",
"middle_name": "M",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P10029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211864",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "079XR",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "185970",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.