PROVIDENCE PHYSICAL MEDICINE PC (NPI# 1891147237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891147237 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE PHYSICAL MEDICINE PC |
| Practice Address |
6911 Shannon Willow Rd Ste 500 Charlotte NC 28226-1346 |
| Practice Telephone | 7048007414 |
| Mailing Telephone | 7048007414 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | RACHEL HYSER (OFFICE MANAGER) |
| Authorized Official Telephone | 7046208857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2006-01409 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
6911 SHANNON WILLOW RD STE 500 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686251 | Angela Ellen Mackert | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2006-10-23 |
| 1629575089 | Jennifer O'brien Adorno | Counselor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2018-04-11 |
| 1619413820 | Carolina Physical Medicine PC | Psychiatry & Neurology | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1346 | 2017-01-11 |
| 1003365362 | Kidspeak Management, LLC | Clinic/Center | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2016-09-28 |
| 1609153345 | Providence Health Center | Chiropractor | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1351 | 2011-11-09 |
| 1598056970 | Laine Anne Gutierrez | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2011-04-20 |
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| 1801113717 | Timothy A Lesondak | Physical Therapist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2010-05-01 |
| 1770818643 | Julie Rabon | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2009-10-12 |
| 1245563683 | Douglas Wayne Morris | Chiropractor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683935 | Ivyrehab North Carolina LLC | Physical Medicine & Rehabilitation | 9216 Ardey Kell Road, Ste 300, Charlotte, NC 28277-4954 | 2020-06-11 |
| 1003466582 | Tiffany Hairston | Physical Medicine & Rehabilitation | 2144 Maplecrest Dr, Charlotte, NC 28212-6918 | 2019-09-16 |
| 1316501646 | Onward Charlotte LLC | Physical Medicine & Rehabilitation | 529 W Summit Ave Ste 1d, Charlotte, NC 28203-4350 | 2019-04-22 |
| 1396157285 | Zachary Bailowitz | Physical Medicine & Rehabilitation | 1000 Blyth Blvd, Charlotte, NC 28203 | 2014-05-27 |
| 1528320702 | Medical Athletics LLC | Physical Medicine & Rehabilitation | 8535 Cliff Cameron Dr, Suite 116, Charlotte, NC 28269-5908 | 2012-06-13 |
| 1215223862 | Integra Rehabilitation Physicians, Pllc | Physical Medicine & Rehabilitation | 11220 Elm Ln Ste 102, Charlotte, NC 28277-0716 | 2011-06-22 |
| 1558501296 | Stephanie Plummer | Physical Medicine & Rehabilitation | 2801 Randolph Road, Suite 100, Charlotte, NC 28211-1051 | 2009-02-20 |
| 1689839813 | Jason David Tucker | Physical Medicine & Rehabilitation | 12312 Copper Way, Suite 200, Charlotte, NC 28277-3386 | 2008-07-28 |
| 1831311679 | Jonathan P French | Physical Medicine & Rehabilitation | 2801 Randolph Rd Ste 100, Charlotte, NC 28211-1051 | 2007-05-02 |
| 1497785430 | Sharon K Kanelos | Physical Medicine & Rehabilitation | 10508 Park Rd Ste 130, Charlotte, NC 28210-8526 | 2006-07-04 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.