Carolina PT Solutions LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAROLINA PT SOLUTIONS LLC

Doing business as

Fyzical Therapy and Balance Centers

Practice address

11218 Providence Rd W Ste C
Charlotte, NC 28277-4787

Phone

(704) 780-1558

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Bartosz Nikiciuk, PTNPI 1619148087

Title

Owner

Phone

(704) 780-1558

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bartosz Michal Nikiciuk, P.T.

  • Specialist
  • Charlotte, NC
  • NPI 1619148087
  Medicare reassignment Care Compare group NPD Authorized official
• Kyle Alexander Kipping, PT, DPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1942049382
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1710639190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 SAINT CLAIR ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11218 PROVIDENCE RD W STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774787",
            "telephone_number": "704-780-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "NIKICIUK",
        "authorized_official_first_name": "BARTOSZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-780-1558",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Premier Care Group LLC
• Carolina Psychiatric Associates, PA
• Carolina Psychiatry and Addiction Services PLLC
• Carolina Psychological Institute, PLLC
• Carolina Psychology Center, PLLC
• Carolina Recovery Center Dba a New Hope for Addiction and Recovery LLC
• Carolina Respiratory Specialists LLP
• Carolina Respite LLC
• Carolina Retina and Vitreous Consultants, PA
• Carolina Skin Surgery Center PA

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.