Individual provider Active NPI

Rebecca Marie Sidlovsky, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1760124564
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19700 Issued in NC
Practice address
9908 Couloak Dr Ste 100
Charlotte, NC 28216-8678
Phone
(704) 801-3065
Fax
(704) 801-3066
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 P19700 NC Primary

Addresses

Primary practice location

9908 Couloak Dr Ste 100
Charlotte, NC 28216-8678

Mailing address

7401 Carmel Executive Park Dr Ste 305
Charlotte, NC 28226-4219
Phone (980) 785-3773

Other practice location 1

7401 Carmel Executive Park Dr Ste 305
Charlotte, NC 28226-4219
Phone (980) 785-3773

Other names 1

  • Rebecca Marie Ploetz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000376 NC Practitioner - Physical Therapist in Private Practice 7416448618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians
Meaningful Movement, LLCGroup PAC ID 7719385442, 5 clinicians

Practice addresses (Care Compare)

3030 Randolph Rd
Suite 105a
Charlotte, NC 28211-1365
Phone (704) 512-4420

7401 Carmel Executive Park Dr
Suite 305
Charlotte, NC 28226-4219
Phone (980) 785-3773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19700NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Movement LLC Physical Therapist CurrentSince Jun 1, 2026 Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

7401 Carmel Executive Park Dr
Ste 305
Charlotte, NC 28226
Phone (980) 785-3773

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

9908 Couloak Dr
Ste 100
Charlotte, NC 28216
Phone (704) 801-3065

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.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1760124564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264219",
            "telephone_number": "980-785-3773",
            "fax_number": "980-236-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 COULOAK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168678",
            "telephone_number": "704-801-3065",
            "fax_number": "704-801-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Carmel Executive Park Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264219",
            "country_code": "US",
            "telephone_number": "980-785-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDLOVSKY",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PLOETZ",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.