Organization Active NPI

Onward Charlotte LLC

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1316501646
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ONWARD CHARLOTTE LLC
Practice address
529 W Summit Ave Ste 1D
Charlotte, NC 28203-4350
Phone
(336) 467-1453
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Jordan Berry, DPTNPI 1386145415
Title
Coo
Phone
(336) 467-1453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

529 W Summit Ave Ste 1D
Charlotte, NC 28203-4350

Mailing address

529 W Summit Ave Ste 1D
Charlotte, NC 28203-4400
Phone (704) 228-3825

National Provider Directory

National Provider Directory

Locations

529 W Summit Ave
Ste 1D
Charlotte, NC 28203
Phone (336) 467-1453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1316501646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W SUMMIT AVE STE 1D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034400",
            "telephone_number": "704-228-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W SUMMIT AVE STE 1D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034350",
            "telephone_number": "336-467-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONWARD CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "336-467-1453",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Dec 21, 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.