Chandler Page Thomas, PT
Individual provider Active NPI Physical Therapist · Marvin, NC
NPI 1124477971 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1124477971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P16368 (NC)
- Practice address
- 13959 Tom Short Rd
Marvin, NC 28173-5300 - Phone
- (980) 269-1844
- Fax
- (980) 580-7807
- NPI assigned
- Jun 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Flo Physical Therapy and Performance LLC
Practice addresses (Care Compare)
8050 Corporate Ctr Dr
Suite 100I
Charlotte, NC 28226-4594
Phone (980) 269-1844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160713002258 | NC | Practitioner - Physical Therapist in Private Practice | 5597057489 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16368 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P16368 | NC | Yes |
Addresses
Primary practice location
13959 Tom Short Rd
Marvin, NC 28173-5300
Mailing address
8622 Tamarron Dr
Charlotte, NC 28277-1871
Phone (980) 269-1844
Other providers in Marvin, NC
- Kerry Roberts Poe
- Madison Dawn Poor
- Porters Health Services LLC
- Publix North Carolina, LP
- Marian Nabil Riwes
- Wood Healthcare PLLC
- Zackery Shane Wood
All providers in Marvin, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.