Novant Medical Group Inc
Organization Active NPI Physical Therapist · Huntersville, NC
NPI 1407197643 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1407197643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- NOVANT MEDICAL GROUP INC
- Practice address
- 14330 Oakhill Park LN Ste 115
Huntersville, NC 28078-3479 - Phone
- (704) 316-1265
- Fax
- (704) 316-1266
- NPI assigned
- Mar 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Shala Davis
- Title
- Managed Care Manager
- Phone
- (704) 303-7517
Practitioners 12
-
Amy Lowery Alexanian, M.D.
-
Kimberly Giesen Daniele, PA-C
-
Eric R Ford, PT
-
Joseph Anthony Garcia, M.D.
-
Ryan David Hart, PA
-
Karen Akosua Schooler, M.D.
-
Oliver Canahuate, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204001028 | NC | Part B Supplier - Clinic/Group Practice | 1153234893 |
Receives reassigned benefits from 648 practitioners This NPI is an additional NPI on the enrollment Practice locations: Denver, NC; High Point, NC; Huntersville, NC; Indian Trail, NC; Matthews, NC; Monroe, NC; Mooresville, NC; Salisbury, NC… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
14330 Oakhill Park LN Ste 115
Huntersville, NC 28078-3479
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1635
Other names
- Novant Health Lakeside Physical Therapy & Sports Medicine
Other providers in Huntersville, NC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Prep II LLC
- Novant Health Sports & Performance Medicine
- Novant Medical Group Inc
- Novant Medical Group Inc
- Novant Medical Group Inc
- Novant Medical Group, Inc
- Novant Medical Group, Inc
- Novant Medical Group, Inc
All providers in Huntersville, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.