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

Providence Physical Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1891147237

Providence Physical Medicine PC is a Physical Medicine & Rehabilitation Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2006-01409 (NC)

Record details

NPI number1891147237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Hyser — Office Manager · (704) 620-8857
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016
Mailing address6911 Shannon Willow Rd, Ste 500, Charlotte, NC 28226-1346

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