Parker Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4819 Issued in NC

Legal business name

PARKER PHYSICAL THERAPY, INC.

Practice address

7615 Colony Rd Ste 110
Charlotte, NC 28226-5018

Phone

(704) 364-6793

Fax

(704) 364-3171

NPI assigned

Nov 29, 2006

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justine Baker

Title

Administrator, CPC

Phone

(704) 364-6793

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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.

• David Cecil Parker, P.T.

  • Physical Therapist
  • Charlotte, NC
  • NPI 1033144753
  Medicare reassignment

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1750458345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265018",
            "telephone_number": "704-364-6793",
            "fax_number": "704-364-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265018",
            "telephone_number": "704-364-6793",
            "fax_number": "704-364-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR, CPC",
        "authorized_official_telephone_number": "704-364-6793"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROV #",
            "identifier": "58687",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "0775D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2501932",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE PROV #",
            "identifier": "650021133",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PROV #",
            "identifier": "16542",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Park
• Ji Hee Park, PHARMD
• Timothy Park, M.D.
• Parker & Co. Wellness Group, LLC
• Laura Rose Parker Beck
• Alana Parker
• Allen Parker
• Allison O'Steen Parker, MACCCSLP
• Amy J Parker, PT
• Amy Stack Parker, P.T., D.P.T.

• 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 Apr 22, 2025; 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.