Active NPI
Jennifer Christine Dyba, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1629471362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15200
- Practice address
- 6034 Heath Valley Rd
Charlotte, NC 28210-4352 - Phone
- (704) 577-9937
- Fax
- (980) 236-8077
- NPI assigned
- Oct 8, 2014
- Last updated
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15200 | NC | Primary |
Addresses
Primary practice location
6034 Heath Valley Rd
Charlotte, NC 28210-4352
Mailing address
6034 Heath Valley Rd
Charlotte, NC 28210-4352
Phone (704) 577-9937
Other practice location 1
4913 Broken Saddle Ln
Charlotte, NC 28226-5816
Phone (704) 577-9937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15200 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Cole Consolidated Rehab LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Charlotte, NC
- NPI 1255962007
-
dba Cole Pediatric Therapy
- Rehabilitation Clinic/Center
- San Marcos, TX
- NPI 1023328192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1629471362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 HEATH VALLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104352",
"telephone_number": "704-577-9937",
"fax_number": "980-236-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6034 HEATH VALLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104352",
"telephone_number": "704-577-9937",
"fax_number": "980-236-8077"
}
],
"practiceLocations": [
{
"address_1": "4913 Broken Saddle Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282265816",
"country_code": "US",
"telephone_number": "704-577-9937",
"fax_number": "980-236-8077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYBA",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15200",
"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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.