Organization Active NPI

Pro Fit Rehab of Charlotte PA

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1316182470
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10026 Issued in NC
Legal business name
PRO FIT REHAB OF CHARLOTTE PA
Practice address
2315 W Arbors Dr Ste 120
Charlotte, NC 28262-2639
Phone
(704) 971-9194
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Steven Marc Ashenfarb, DC, MPT
Title
Owner
Phone
(704) 971-9194

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3395 NC
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 10026 NC Primary

Addresses

Primary practice location

2315 W Arbors Dr Ste 120
Charlotte, NC 28262-2639

Mailing address

2315 W Arbors Dr Ste 120
Charlotte, NC 28262-2639
Phone (704) 971-9194

National Provider Directory

National Provider Directory

Locations

2315 W Arbors Dr
Charlotte, NC 28262

830 Skybrook Dr
Huntersville, NC 28078
Phone (704) 971-9194

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1316182470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622639",
            "telephone_number": "704-971-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622639",
            "telephone_number": "704-971-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO FIT REHAB OF CHARLOTTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "ASHENFARB",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-971-9194",
        "authorized_official_credential": "DC, MPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10026",
            "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 Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.