Provider profile · NPI 1003521089

Activade Llc

Physical Therapist · Charlotte, NC · NPI 1003521089 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physical Therapist

Enumerated

Jan 13, 2023

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING809 WOODRUFF PL Charlotte, NC 28208-4553
LOCATION809 WOODRUFF PL Charlotte, NC 28208-4553704-839-2019

View on NPPES registry ↗

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