Individual provider Active NPI

Carey Price Childers, DPT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1952957227
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19000 Issued in NC
Practice address
16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139
Phone
(704) 801-3719
Fax
(704) 801-3719
NPI assigned
Aug 13, 2019
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 P19000 NC Primary

Addresses

Primary practice location

16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139

Mailing address

16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139
Phone (704) 801-3719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028003164 NC Practitioner - Physical Therapist in Private Practice 7214269000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

3030 Randolph Rd
Charlotte, NC 28211-1368
Phone (704) 512-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Rehabilitation CurrentSince Feb 6, 2022 Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

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

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

16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719

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, 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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1952957227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 300",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787139",
            "telephone_number": "704-801-3719",
            "fax_number": "704-801-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 300",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787139",
            "telephone_number": "704-801-3719",
            "fax_number": "704-801-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "CAREY",
        "middle_name": "PRICE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 3, 2022; 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.