Organization Active NPI

Ivyrehab North Carolina LLC

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1629568647
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
IVYREHAB NORTH CAROLINA LLC
Practice address
5960 Fairview Rd
Charlotte, NC 28210-3102
Phone
(980) 224-7958
Fax
(980) 224-7973
NPI assigned
May 15, 2018
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Ashley Griffiths
Title
Sr. Director of Provider Relations
Phone
(732) 678-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

5960 Fairview Rd
Charlotte, NC 28210-3102

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190207001822 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820336324 Receives reassigned benefits from 241 practitioners
Practice locations: Lincolnton, NC; Fuquay Varina, NC; Garner, NC; Gastonia, NC; Holly Springs, NC; Indian Trail, NC; Kings Mountain, NC; Leland, NC…

National Provider Directory

National Provider Directory

Locations

100 W Fremont St
Ste 100B
Burgaw, NC 28425
Phone (336) 217-2031

2016 Ayrsley Town Blvd
Ste E
Charlotte, NC 28273
Phone (980) 272-5771

3151 Apex Dr
Ste 101D
Charlotte, NC 28211
Phone (980) 224-7958

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

9325 Jw Clay Blvd
Ste 224
Charlotte, NC 28262
Phone (704) 755-4278

9392 Sullivan Vale Ln
Charlotte, NC 28215
Phone (980) 701-5757

7505 NC 73 Hwy
Ste De
Denver, NC 28037
Phone (704) 587-7131

189 W Main St
Forest City, NC 28043
Phone (828) 417-0090

100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100

1878 N Broad St
Fuquay Varina, NC 27526
Phone (919) 805-3103

4514 Old Monroe Rd
#B
Indian Trail, NC 28079
Phone (980) 890-8850

201 N Church St
Ste 110
Mooresville, NC 28115
Phone (704) 909-7808

7901 Strickland Rd
Ste 101
Raleigh, NC 27615
Phone (919) 341-4234

1845 E Broad St
Statesville, NC 28625
Phone (980) 890-3255

1628 S Main St
Ste 104
Wake Forest, NC 27587
Phone (919) 342-1357

Practitioners & affiliated clinicians

Practitioners 251

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 251

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1629568647",
    "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",
            "fax_number": "631-580-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103102",
            "telephone_number": "980-224-7958",
            "fax_number": "980-224-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "732-678-6119"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.