Individual provider Active NPI

Chelsea Pedigo

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1205389137
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18698 Issued in NC
Practice address
9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954
Phone
(980) 556-7330
Fax
(980) 939-8215
NPI assigned
Jul 27, 2016
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 9588 SC
Physical Therapist 225100000X P18698 NC Primary

Addresses

Primary practice location

9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (631) 580-5200

Other practice location 1

130 Crisanto Ave Ste A
Fort Mill, SC 29715-6272
Phone (803) 746-4655

Other names 1

  • Chelsea Santos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190516000323 SC Practitioner - Physical Therapist in Private Practice 0042585945 Reassigns benefits to 2 organizations
I20190820004201 NC Practitioner - Physical Therapist in Private Practice 0042585945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
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)

435 N Generals Blvd
Lincolnton, NC 28092-3559
Phone (980) 399-4440

9216 Ardrey Kell Rd
Suite 300
Charlotte, NC 28277-4954
Phone (980) 556-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9588SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Sep 24, 2019 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Jul 31, 2019 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Jul 31, 2019 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 1, 2019 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Sep 24, 2019 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

4833 Berewick Town Center Dr
Ste H
Charlotte, NC 28278
Phone (980) 880-6780

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

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

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

Organizations & group practices 7

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1205389137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 ARDREY KELL RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774954",
            "telephone_number": "980-556-7330",
            "fax_number": "980-939-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Crisanto Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297156272",
            "country_code": "US",
            "telephone_number": "803-746-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9588",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SANTOS",
            "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 May 24, 2023; 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.