Individual provider Active NPI

Charles Patrick Lewis

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1114440559
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18388 Issued in NC
Practice address
1481 Kelly Rd
Apex, NC 27502-9572
Phone
(919) 296-8180
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TPT021941 PA
Physical Therapist 225100000X P18388 NC Primary

Addresses

Primary practice location

1481 Kelly Rd
Apex, NC 27502-9572

Mailing address

PO Box 412313
Boston, MA 02241-2313

Other practice location 1

1317 N Brightleaf Blvd Ste A
Smithfield, NC 27577-7267
Phone (919) 300-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207001092 NC Practitioner - Physical Therapist in Private Practice 6305119389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

1481 Kelly Rd
Apex, NC 27502-9572
Phone (919) 296-8180

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPT021941PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Oct 15, 2018 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Jan 6, 2025 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

10236 Green Level Church Rd
Ste 102
Cary, NC 27519
Phone (984) 202-8811

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

1417 S Pollock St
Selma, NC 27576
Phone (919) 300-5040

1317 N Brightleaf Blvd
Ste A
Smithfield, NC 27577
Phone (516) 220-5410

1628 S Main St
Ste 104
Wake Forest, NC 27587
Phone (919) 342-1357

708 Main St
Harleysville, PA 19438
Phone (267) 932-9177

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

Interoperability endpoints

  • Direct secure messaging: charles.lewis.p12@direct.athleticoltd.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1114440559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 KELLY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029572",
            "telephone_number": "919-296-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 N Brightleaf Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275777267",
            "country_code": "US",
            "telephone_number": "919-300-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT021941",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.