Individual provider Active NPI

Jeremy C Phipps, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1457335879
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P8127 Issued in NC
Practice address
8700 Pineville Matthews Rd Ste 540
Charlotte, NC 28226-4749
Phone
(704) 751-0532
Fax
(704) 544-1104
NPI assigned
Nov 30, 2005
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 P8127 NC Primary

Addresses

Primary practice location

8700 Pineville Matthews Rd Ste 540
Charlotte, NC 28226-4749

Mailing address

PO Box 749
Belmont, NC 28012-0749

Other practice location 1

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2000

Other practice location 2

15825 Ballantyne Medical Pl Ste 120
Charlotte, NC 28277-4790
Phone (704) 323-3409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000665 NC Practitioner - Physical Therapist in Private Practice 8224058235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P8127NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina, PA Physical Therapist CurrentSince Dec 3, 2010 Accepting new patients
Orthocarolina Physical Therapist Current Accepting new patients
Orthocarolina Physical Therapist CurrentSince Dec 3, 2010 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

15825 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 323-3400

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

Organizations & group practices 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1457335879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PINEVILLE MATTHEWS RD STE 540",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264749",
            "telephone_number": "704-751-0532",
            "fax_number": "704-544-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071101",
            "country_code": "US",
            "telephone_number": "704-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15825 Ballantyne Medical Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774790",
            "country_code": "US",
            "telephone_number": "704-323-3409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "JEREMY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8127",
            "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 30, 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.