Individual provider Active NPI

Erica Christine Kelley, DPT

  • Physical Therapist
  • Mint Hill, NC
National Provider Identifier
1629811518
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23267 Issued in NC
Practice address
7427 Matthews Mint Hill Rd Ste 103
Mint Hill, NC 28227-7863
Phone
(980) 729-6525
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 P23267 NC Primary

Addresses

Primary practice location

7427 Matthews Mint Hill Rd Ste 103
Mint Hill, NC 28227-7863

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326003074 NC Practitioner - Physical Therapist in Private Practice 2860915287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pin Point Physical Therapy LLCGroup PAC ID 7719374420, 3 clinicians

Practice addresses (Care Compare)

6135 Park S Dr
Suite 200
Charlotte, NC 28210-2000
Phone (704) 612-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23267NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pin Point Physical Therapy LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist PastSince Jun 23, 2024 Accepting new patients
Comprehab LLC Physical Therapist PastSince Jun 23, 2024 Accepting new patients

Locations

5821 Fairview Rd
Ste 215
Charlotte, NC 28209
Phone (704) 612-6797

6135 Park South Dr
Ste 200
Charlotte, NC 28210
Phone (704) 612-6797

Organizations & group practices 3

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1629811518",
    "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",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 MATTHEWS MINT HILL RD STE 103",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277863",
            "telephone_number": "980-729-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ERICA",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.