Individual provider Active NPI

John Scigliano, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1285609974
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8988 Issued in NC
Practice address
8220 University Exec Park Dr
Ste 140
Charlotte, NC 28262-3380
Phone
(704) 547-1129
Fax
(704) 547-9056
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8988 NC Primary
Physical Therapist 225100000X 15055 CA
Physical Therapist 225100000X 5501011516 MI

Addresses

Primary practice location

8220 University Exec Park Dr
Ste 140
Charlotte, NC 28262-3380

Mailing address

8220 University Exec Park Dr
Ste 140
Charlotte, NC 28262-3380
Phone (704) 547-1129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000479 NC Practitioner - Physical Therapist in Private Practice 6507938677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 Polo Ridge CT
Winston Salem, NC 27106-3950
Phone (336) 734-1894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501011516MIMDPhysical Therapist
15055CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Therapy Services, Inc. Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Proactive Therapy of North Carolina Inc Past Accepting new patients

Locations

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285609974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 UNIVERSITY EXEC PARK DR",
            "address_2": "STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623380",
            "telephone_number": "704-547-1129",
            "fax_number": "704-547-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 UNIVERSITY EXEC PARK DR",
            "address_2": "STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623380",
            "telephone_number": "704-547-1129",
            "fax_number": "704-547-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIGLIANO",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8988",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011516",
            "primary": false
        }
    ],
    "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 Jul 13, 2026; 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.