Individual provider Active NPI

Morgan Rain Carline, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1770351066
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP0332578T Issued in NC
Practice address
10635 Park Rd Ste D
Charlotte, NC 28210-8408
Phone
(980) 890-3233
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02237600 NJ
Physical Therapist 225100000X CP0332578T NC Primary

Addresses

Primary practice location

10635 Park Rd Ste D
Charlotte, NC 28210-8408

Mailing address

PO Box 412313
Boston, MA 02241-1339
Phone (914) 294-4050

Other practice location 1

725 NJ-15
103
Lake Hopatcong, NJ 07849
Phone (973) 288-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823003436 NC Practitioner - Physical Therapist in Private Practice 7214371657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

2100 N Davidson St
Suite C
Charlotte, NC 28205-1828
Phone (980) 556-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP0332578TNCMDPhysical Therapist
40QA02237600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Aug 5, 2024 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780

10635 Park Rd
Ste D
Charlotte, NC 28210
Phone (980) 890-3233

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

3916 E Franklin Blvd
Ste 100
Gastonia, NC 28056
Phone (704) 862-4899

3372 Robinwood Rd
Gastonia, NC 28054
Phone (704) 862-4899

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": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1770351066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411339",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 PARK RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108408",
            "telephone_number": "980-890-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 NJ-15",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "Lake Hopatcong",
            "state": "NJ",
            "postal_code": "07849",
            "country_code": "US",
            "telephone_number": "973-288-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLINE",
        "first_name": "MORGAN",
        "middle_name": "RAIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02237600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP0332578T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 9, 2024; 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.