Organization Active NPI

Physical Therapy for the Carolinas

Doing business as PT for the Carolinas

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1164401568
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5257 Issued in NC
Legal business name
PHYSICAL THERAPY FOR THE CAROLINAS
Doing business as
PT for the Carolinas
Practice address
3315 Springbank LN
Suite 104
Charlotte, NC 28226-3197
Phone
(704) 541-3378
Fax
(704) 542-5962
NPI assigned
Jan 13, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mr. Thomas S Campion, PT, OCSNPI 1255310793
Title
Owner
Phone
(704) 541-3378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5257 NC Primary

Addresses

Primary practice location

3315 Springbank LN
Suite 104
Charlotte, NC 28226-3197

Mailing address

3315 Springbank LN
Suite 104
Charlotte, NC 28226-3197
Phone (704) 541-3378

Other identifiers 2

IdentifierTypeStateIssuer
016MNOtherNCBCBS GROUP
7211690MedicaidNC

Other names 1

  • PT for the Carolinas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000864 NC Part B Supplier - Clinic/Group Practice 3274591797 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

3135 Springbank Ln
Ste 220
Charlotte, NC 28226
Phone (704) 541-3378

3315 Springbank Ln
Ste 104
Charlotte, NC 28226
Phone (704) 247-1500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1164401568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-541-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-541-3378",
            "fax_number": "704-542-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY FOR THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-541-3378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "016MN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT for the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.