Individual provider Active NPI

Celina Gail Moore, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1174293328
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19222 Issued in NC
Practice address
3611 Mt Holly Huntersville Rd Ste 204
Charlotte, NC 28216-8706
Phone
(980) 256-3171
NPI assigned
Sep 19, 2021
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19222 NC Primary

Addresses

Primary practice location

3611 Mt Holly Huntersville Rd Ste 204
Charlotte, NC 28216-8706

Mailing address

3611 Mt Holly Huntersville Rd Ste 204
Charlotte, NC 28216-8706
Phone (980) 256-3171

Other names 1

  • Celina Gail Nierzwicki Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charlotte

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104001577 NC Practitioner - Physical Therapist in Private Practice 1355739731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Prava PCGroup PAC ID 9931620432, 9 clinicians

Practice addresses (Care Compare)

128 S Tryon St
Suite 1920
Charlotte, NC 28202-5001
Phone (877) 472-2261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19222NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2021 Accepting new patients
Reinvent Health Inc Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2021 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2021 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797

3611 Mt Holly Huntersville Rd
Ste 204
Charlotte, NC 28216
Phone (980) 256-3171

8220 University Exec Park Dr
Ste 140
Charlotte, NC 28262
Phone (704) 547-1129

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

Organizations & group practices 9

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": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1174293328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 MT HOLLY HUNTERSVILLE RD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168706",
            "telephone_number": "980-256-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 MT HOLLY HUNTERSVILLE RD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168706",
            "telephone_number": "980-256-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CELINA",
        "middle_name": "GAIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "3611 Mt Holly Huntersville Rd Ste 204",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282168706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CELINA",
            "last_name": "NIERZWICKI",
            "middle_name": "GAIL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 17, 2025; 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.