Individual provider Active NPI

Ericka Ellen Grant, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1356833446
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18056 Issued in NC
Practice address
5935 Carnegie Blvd Ste 104
Charlotte, NC 28209-4672
Phone
(704) 323-2500
NPI assigned
Jun 4, 2018
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 P18056 NC Primary
Physical Therapist 225100000X PT.9147 SC

Addresses

Primary practice location

5935 Carnegie Blvd Ste 104
Charlotte, NC 28209-4672

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

2400 W Mallard Creek Church Rd
Charlotte, NC 28262-2324
Phone (704) 323-2108

Other practice location 2

1525 Celanese Rd Ste 113
Rock Hill, SC 29732-1757
Phone (803) 366-8243

Other practice location 3

2460 India Hook Rd Ste 107
Rock Hill, SC 29732-3531
Phone (803) 658-4073

Other practice location 4

2230 Park Rd Ste 104
Charlotte, NC 28203-6664
Phone (704) 919-1280

Other identifiers 1

IdentifierTypeStateIssuer
0397730041OtherNCNSC #

Other names 1

  • Ericka Jordan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180713002730 SC Practitioner - Physical Therapist in Private Practice 8729335229 Reassigns benefits to 2 organizations
I20180718003984 NC Practitioner - Physical Therapist in Private Practice 8729335229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.9147SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Sep 4, 2020 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Benchmark Health Services, LLC Physical Therapist Past Accepting new patients

Locations

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

2230 Park Rd
Ste 104
Charlotte, NC 28203
Phone (704) 919-1280

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

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

1525 Celanese Rd
#113
Rock Hill, SC 29732
Phone (803) 366-8243

1525 Celanese Rd
Ste 113
Rock Hill, SC 29732
Phone (803) 336-8243

2460 India Hook Rd
Ste 107
Rock Hill, SC 29732
Phone (803) 658-4073

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1356833446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 CARNEGIE BLVD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094672",
            "telephone_number": "704-323-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 W Mallard Creek Church Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622324",
            "country_code": "US",
            "telephone_number": "704-323-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Celanese Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321757",
            "country_code": "US",
            "telephone_number": "803-366-8243",
            "fax_number": "803-366-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 India Hook Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297323531",
            "country_code": "US",
            "telephone_number": "803-658-4073",
            "fax_number": "803-329-1696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 Park Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282036664",
            "country_code": "US",
            "telephone_number": "704-919-1280",
            "fax_number": "704-919-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ERICKA",
        "middle_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18056",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT.9147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC #",
            "identifier": "0397730041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 17, 2024; 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.