Individual provider Active NPI

Charlena Donna Hassell, P.T.

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1376681593
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10224 Issued in NC
Practice address
1313 Carolina St Ste 200
Greensboro, NC 27401-6002
Phone
(336) 275-6380
NPI assigned
Feb 1, 2007
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10224 NC Primary

Addresses

Primary practice location

1313 Carolina St Ste 200
Greensboro, NC 27401-6002

Mailing address

2333 W Cornwallis Dr
Greensboro, NC 27408-6801
Phone (336) 543-8249

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab PT NC LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719002573 NC Practitioner - Physical Therapist in Private Practice 8820534399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1573 Skeet Club Rd
High Point, NC 27265-8065
Phone (336) 882-0017

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3895 Old Vineyard Rd
Winston Salem, NC 27104-4809
Phone (336) 283-9174

4434 Old Battleground Rd
Greensboro, NC 27410-9828
Phone (336) 617-3448

5125 Michaux Rd
Greensboro, NC 27410-9836
Phone (336) 859-0773

801 Meadowood St
Greensboro, NC 27409-2838
Phone (336) 285-5456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10224NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT NC LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince May 23, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 23, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Carolina Diagnostic Corporation Past Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200

2008 Moore Rd
Matthews, NC 28105

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

Organizations & group practices 7

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1376681593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086801",
            "telephone_number": "336-543-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 CAROLINA ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016002",
            "telephone_number": "336-275-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELL",
        "first_name": "CHARLENA",
        "middle_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab PT NC LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2008 Moore Rd",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.