Individual provider Active NPI

Michael John Edmondson, MPT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1992983241
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P7469 Issued in NC
Practice address
16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139
Phone
(704) 801-3719
Fax
(704) 801-3705
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 P7469 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
I20080326000416 NC Practitioner - Physical Therapist in Private Practice 9931285350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Joint Replacement Specialists, P.C. Past Accepting new patients

Locations

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1992983241",
    "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": "704-801-3705"
        },
        {
            "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": "704-801-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P7469",
            "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 May 22, 2025; 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.