Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Physical Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1619413820

Carolina Physical Medicine PC is a Physical Medicine & Rehabilitation Physician in Charlotte, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6911 Shannon Willow Rd Ste 500
Charlotte, NC 28226-1346
Phone: (704) 800-7414
Fax: (704) 817-3390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Neurology Physician Taxonomy 2084N0400X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1619413820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Hyser — Manager · (704) 800-7414
NPI enumeratedJanuary 11, 2017
Last updated in NPPESOctober 13, 2017
Mailing address6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1346

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