Individual provider Active NPI

Kaylee Edwards

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1871370221
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22631 Issued in NC
Practice address
6115 Park South Dr Ste 360
Charlotte, NC 28210-0227
Phone
(980) 237-2302
NPI assigned
Sep 11, 2023
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 P22631 NC Primary

Addresses

Primary practice location

6115 Park South Dr Ste 360
Charlotte, NC 28210-0227

Mailing address

6115 Park South Dr Ste 360
Charlotte, NC 28210-0227
Phone (980) 237-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230929000091 SC Practitioner - Physical Therapist in Private Practice 2466806161 Reassigns benefits to 1 organization
I20231031001895 NC Practitioner - Physical Therapist in Private Practice 2466806161 Reassigns benefits to 2 organizations

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
Charlotte One on One Physical TherapyGroup PAC ID 6204194137, 8 clinicians

Practice addresses (Care Compare)

6115 Park S Dr
Suite 360
Charlotte, NC 28210-3269
Phone (980) 223-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22631NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Sep 15, 2023 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Aug 31, 2023 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Sep 15, 2023 Accepting new patients
Charlotte One on One Physical Therapy Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

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

6115 Park South Dr
Ste 360
Charlotte, NC 28210
Phone (980) 223-2302

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

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1871370221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PARK SOUTH DR STE 360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100227",
            "telephone_number": "980-237-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PARK SOUTH DR STE 360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100227",
            "telephone_number": "980-237-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22631",
            "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 10, 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.