Individual provider Active NPI

Michael Robert Jean-Baptiste, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1417503541
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21661 Issued in NC
Practice address
4833 Berewick Town Center Dr Ste H
Charlotte, NC 28278-6721
Phone
(980) 880-6780
NPI assigned
Aug 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP044885T SC
Physical Therapist 225100000X PT35005 FL
Physical Therapist 225100000X P21661 NC Primary

Addresses

Primary practice location

4833 Berewick Town Center Dr Ste H
Charlotte, NC 28278-6721

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

804 NE 125th St
North Miami, FL 33161-5712
Phone (305) 364-5409

Other practice location 2

8811 Charlotte Hwy Ste 101
Indian Land, SC 29707-7901
Phone (803) 973-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191023002161 FL Practitioner - Physical Therapist in Private Practice 5395077465 Reassigns benefits to 1 organization
I20221209000762 NC Practitioner - Physical Therapist in Private Practice 5395077465 Reassigns benefits to 2 organizations
I20250721001660 SC Practitioner - Physical Therapist in Private Practice 5395077465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians
Ivyrehab Focus, Inc.Group PAC ID 5890851406, 39 clinicians

Practice addresses (Care Compare)

4833 Berewick Town Ctr Dr
Suite H
Charlotte, NC 28278-6721
Phone (980) 880-6780

8811 Charlotte Hwy
Suite 101
Indian Land, SC 29707-7901
Phone (803) 973-4183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35005FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Sep 20, 2022 Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Apr 11, 2025 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Jun 25, 2025 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Lumana Physical Therapy & Wellness Center Corp CurrentSince Aug 1, 2019 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Jun 25, 2025 Accepting new patients

Locations

810 NE 125th St
North Miami, FL 33161
Phone (305) 364-5409

804 NE 125th St
North Miami, FL 33161
Phone (305) 364-5409

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

4833 Berewick Town Center Dr
Ste H
Charlotte, NC 28278
Phone (980) 880-6780

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

901 Berryhill Rd
Ste I
Charlotte, NC 28208
Phone (980) 890-3244

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

8811 Charlotte Hwy
Ste 101
Indian Land, SC 29707
Phone (803) 973-4183

8811 Charlotte Hwy
Ste 100
Indian Land, SC 29707

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1417503541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 BEREWICK TOWN CENTER DR STE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786721",
            "telephone_number": "980-880-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 NE 125th St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615712",
            "country_code": "US",
            "telephone_number": "305-364-5409",
            "fax_number": "786-870-5927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8811 Charlotte Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297077901",
            "country_code": "US",
            "telephone_number": "803-973-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP044885T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35005",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21661",
            "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 Aug 26, 2025; 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.