Individual provider Active NPI

Christopher Connelly, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1275098089
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10499 Issued in SC
Practice address
7580 Charlotte Hwy Ste 1100
Fort Mill, SC 29707-7803
Phone
(803) 548-5662
Fax
(803) 548-5635
NPI assigned
Feb 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 P18538 NC
Physical Therapist 225100000X 10499 SC Primary

Addresses

Primary practice location

7580 Charlotte Hwy Ste 1100
Fort Mill, SC 29707-7803

Mailing address

981 High House Rd Ste 100
Cary, NC 27513-3510
Phone (919) 388-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190318000044 NC Practitioner - Physical Therapist in Private Practice 9739429473 Reassigns benefits to 3 organizations
I20210115001183 SC Practitioner - Physical Therapist in Private Practice 9739429473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as individual
Quality
80.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Feb 11, 2019 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Feb 11, 2019 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Your Life Wellness and Physical Therapy CurrentSince Jan 1, 2021 Accepting new patients

Locations

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

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

3935 Brian Jordan Pl
Ste 119
High Point, NC 27265
Phone (336) 885-0440

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

601 S Main St
Unit B
Reidsville, NC 27320
Phone (336) 342-3383

5554 Main St
Fort Lawn, SC 29714
Phone (803) 548-5662

7580 Charlotte Hwy
Ste 1100
Indian Land, SC 29707
Phone (803) 548-5662

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1275098089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133510",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CHARLOTTE HWY STE 1100",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077803",
            "telephone_number": "803-548-5662",
            "fax_number": "803-548-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18538",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.