Active NPI
Uncommon Physical Therapy, LLC
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1962196287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davis Bradley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Charlotte, NC
- NPI 1205273075
-
- Physical Therapist
- Charlotte, NC
- NPI 1922844034
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.