Active NPI
John Neely Gilbert IV, PT, DPT
- Physical Therapist
- Mooresville, NC
National Provider Identifier
1659186286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23840
- Practice address
- 167 Gateway Blvd.
Mooresville, NC 28117-5540 - Phone
- (704) 658-1095
- Fax
- (704) 658-1097
- NPI assigned
- Feb 11, 2025
- Sex
- Male
- 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 | P23840 | NC | Primary |
Addresses
Primary practice location
167 Gateway Blvd.
Mooresville, NC 28117-5540
Mailing address
114 Welton Way Ste B
Mooresville, NC 28117-9251
Phone (704) 660-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250417000533 | NC | Practitioner - Physical Therapist in Private Practice | 1153846662 | 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
- Taylor Rehab Inc
Practice addresses (Care Compare)
167 Gateway Blvd
Mooresville, NC 28117-5540
Phone (704) 658-1095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
167 Gateway Blvd
Mooresville, NC 28117
Phone (704) 658-1095
114 Welton Way
Ste B
Mooresville, NC 28117
Phone (704) 660-6551
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 and National Provider Directory roles.
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1659186286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WELTON WAY STE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179251",
"telephone_number": "704-660-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 GATEWAY BLVD.",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175540",
"telephone_number": "704-658-1095",
"fax_number": "704-658-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "JOHN",
"middle_name": "NEELY",
"name_suffix": "IV",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-11",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.