Active NPI
Erica Christine Kelley, DPT
- Physical Therapist
- Mint Hill, NC
National Provider Identifier
1629811518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23267
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P23267 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pin Point Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Comprehab LLC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1639687965
Physical Therapist
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
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.