Active NPI
Ultra Sports Performance, Inc.
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
National Provider Identifier
1376309351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ULTRA SPORTS PERFORMANCE, INC.
- Practice address
- 7733 Ballantyne Commons Pkwy Ste 103
Charlotte, NC 28277-4398 - Phone
- (704) 236-0222
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kylah George, PT, DPT
- Title
- Physical Therapist
- Phone
- (704) 524-8165
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
7733 Ballantyne Commons Pkwy Ste 103
Charlotte, NC 28277-4398
Mailing address
7733 Ballantyne Commons Pkwy Ste 103
Charlotte, NC 28277-4398
Phone (704) 236-0222
National Provider Directory
National Provider DirectoryLocations
7733 Ballantyne Commons Pkwy
Ste 103
Charlotte, NC 28277
Phone (704) 236-0222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Mill, SC
- NPI 1306682596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720310400000",
"number": "1376309351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 BALLANTYNE COMMONS PKWY STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774398",
"telephone_number": "704-236-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 BALLANTYNE COMMONS PKWY STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774398",
"telephone_number": "704-236-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRA SPORTS PERFORMANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "KYLAH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "704-524-8165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, 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 Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.