Active NPI
Monica Widmeyer
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1306639554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24248
- Practice address
- 8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692 - Phone
- (704) 900-8960
- NPI assigned
- May 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P24248 | NC | Primary |
Addresses
Primary practice location
8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Mailing address
1429 Bryant St Ste a
Charlotte, NC 28208-5201
Phone (704) 919-0867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8918 Blakeney Professional Dr
Suite 120
Charlotte, NC 28277-6692
Phone (704) 900-8960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Architech Sports and Physical Therapy, LLC | Current | Accepting new patients | |
| Architech Sports and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867
8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Charlotte, NC
- NPI 1780834697
-
- Orthopedic Physical Therapist
- Fort Mill, SC
- NPI 1134894389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1306639554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 BRYANT ST STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085201",
"telephone_number": "704-919-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8918 BLAKENEY PROFESSIONAL DR STE 120",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776692",
"telephone_number": "704-900-8960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDMEYER",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-28",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24248",
"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 Aug 12, 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.