Individual provider Active NPI

Charles Fairbank Sigloh, PT,DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1962353805
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24694 Issued in NC
Practice address
1300 S Mint St Ste 405
Charlotte, NC 28203-4168
Phone
(980) 987-7885
NPI assigned
Feb 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 P24694 NC Primary

Addresses

Primary practice location

1300 S Mint St Ste 405
Charlotte, NC 28203-4168

Mailing address

1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220003094 NC Practitioner - Physical Therapist in Private Practice 6406337153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bull City Physical TherapyGroup PAC ID 8022438563, 10 clinicians

Practice addresses (Care Compare)

1019 Broad St
Durham, NC 27705-4143
Phone (919) 797-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24694NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bull City Physical Therapy Physical Therapist CurrentSince Feb 6, 2026 Accepting new patients
Acupuncture and Chiropractic Care Center Inc. CurrentSince Feb 6, 2026 Accepting new patients

Locations

1300 S Mint St
Ste 405
Charlotte, NC 28203
Phone (980) 987-7885

1019 Broad St
Durham, NC 27705
Phone (919) 286-0009

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": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1962353805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054143",
            "telephone_number": "919-797-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MINT ST STE 405",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034168",
            "telephone_number": "980-987-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGLOH",
        "first_name": "CHARLES",
        "middle_name": "FAIRBANK",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24694",
            "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 Apr 7, 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.