Organization Active NPI

Uncommon Physical Therapy, LLC

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1962196287
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNCOMMON PHYSICAL THERAPY, LLC
Practice address
6842 Carnegie Blvd # 205
Charlotte, NC 28211-3547
Phone
(704) 803-8038
Fax
(704) 801-4711
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Davis BradleyNPI 1205273075
Title
Owner
Phone
(704) 803-8038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6842 Carnegie Blvd # 205
Charlotte, NC 28211-3547

Mailing address

6842 Carnegie Blvd # 205
Charlotte, NC 28211-3547
Phone (704) 803-8038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010004193 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800241951 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6842 Carnegie Blvd
#205
Charlotte, NC 28211
Phone (704) 803-8038

6842 Carnegie Blvd
Ste 205
Charlotte, NC 28211
Phone (704) 803-8038

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1962196287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 CARNEGIE BLVD # 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113547",
            "telephone_number": "704-803-8038",
            "fax_number": "704-810-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 CARNEGIE BLVD # 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113547",
            "telephone_number": "704-803-8038",
            "fax_number": "704-801-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCOMMON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-803-8038"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.