Individual provider Active NPI

Charliann Scott Viviano, PT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1760863500
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15603 Issued in NC
Practice address
13245 Reese Blvd W Ste 100
Huntersville, NC 28078-6390
Phone
(704) 316-5096
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 15603 NC Primary

Addresses

Primary practice location

13245 Reese Blvd W Ste 100
Huntersville, NC 28078-6390

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1525 Celanese Rd
Ste 113
Rock Hill, SC 29732-1757
Phone (803) 366-8243

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cviviano280321@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15603NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cviviano280321@direct.novanthealth.org

Organizations & group practices 1

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1760863500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 REESE BLVD W STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786390",
            "telephone_number": "704-316-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Celanese Rd",
            "address_2": "Ste 113",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321757",
            "country_code": "US",
            "telephone_number": "803-366-8243",
            "fax_number": "803-366-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "CHARLIANN",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cviviano280321@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1525 Celanese Rd",
            "address_2": "Ste 113",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297321757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.