Individual provider Active NPI

Megan Elizabeth Dicostanzo, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1235724303
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20197 Issued in NC
Practice address
11771 US 70 Business Hwy W
Charlotte, NC 27520-2274
Phone
(984) 263-0944
NPI assigned
Mar 1, 2021
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 P20197 NC Primary

Addresses

Primary practice location

11771 US 70 Business Hwy W
Charlotte, NC 27520-2274

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2010 Water Walk Ln Unit 102
Charlotte, NC 28208-4097
Phone (860) 965-5820

Other practice location 2

3708 Forestview Rd Ste 101
Raleigh, NC 27612-2391
Phone (919) 786-7434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015003644 NC Practitioner - Physical Therapist in Private Practice 7618464355 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
NC Physical Therapy and Balance LLCGroup PAC ID 1951749258, 4 clinicians
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

11771 US 70 Business Hwy W
Clayton, NC 27520-2274
Phone (984) 263-0944

16139 Lancaster Hwy
Suite 140
Charlotte, NC 28277-2976
Phone (704) 542-2492

215 Brightmore Dr
Cary, NC 27518-8146
Phone 98446507884788

3010 Anderson Dr
Suite 100
Raleigh, NC 27609-7720
Phone (919) 244-2225

3708 Forestview Rd
Suite 101
Raleigh, NC 27612-8042
Phone (919) 786-7434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P20197NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NC Physical Therapy and Balance LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Oct 13, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

16139 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 540-6930

11771 US Highway 70 Bus W
Clayton, NC 27520
Phone (984) 263-0944

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

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

3010 Anderson Dr
#100
Raleigh, NC 27609
Phone (919) 244-2225

3708 Forestview Rd
Ste 101
Raleigh, NC 27612
Phone (919) 786-7434

Interoperability endpoints

  • Direct secure messaging: megan.dicostanzo.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 10

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1235724303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 US 70 BUSINESS HWY W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "275202274",
            "telephone_number": "984-263-0944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Water Walk Ln Unit 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282084097",
            "country_code": "US",
            "telephone_number": "860-965-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3708 Forestview Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276122391",
            "country_code": "US",
            "telephone_number": "919-786-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICOSTANZO",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 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.