Brandy Cardwell, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT -2965 Issued in NC

Practice address

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

Phone

(704) 547-1129

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Proactive Therapy of North Carolina Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1568468502
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Bethany, OK
  • NPI 1437110020
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1376089631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE #140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623380",
            "telephone_number": "704-547-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE #140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623380",
            "telephone_number": "704-547-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "BRANDY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT -2965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiology Specialists of the Carolinas, PA
• Cardiosom, LLC (CardioSom of Charlotte)
• Claudia Daniela Cardona, LCSWA
• Jennifer Cardona, LCSWA
• Josue Cardona, LPCA, NCC
• Jeffrey G Cardwell, M.D.
• Khamik Cardwell
• Care and Carry LLC
• Care Assistant LLC
• Care Club LLC (2nd Family)

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.