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JONATHON WESLEY GARDNER PT, DPT, SCS, CSCS
NPI 1104302298
Physical Therapist - Sports in Charlotte, NC

Active since July 12, 2018
131 PROVIDENCE RD STE 100, CHARLOTTE, NC 28207(980) 265-8869 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Aug 6, 2024, Jul 19, 2024 and 2 more (5 updates tracked since 2018).

About Jonathon Wesley Gardner Pt, Dpt, Scs, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHON WESLEY GARDNER PT, DPT, SCS, CSCS (NPI 1104302298) is an individual sports provider in Charlotte, North Carolina, licensed in North Carolina (P23364) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1104302298
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJONATHON WESLEY GARDNERCredential: PT, DPT, SCS, CSCS
Location Address131 PROVIDENCE RD STE 100Charlotte, NC 28207-1251
Mailing Address131 Providence Rd Ste 100Charlotte, NC 28207-1251 · (980) 265-8869
Phone(980) 265-8869
Sole ProprietorYes
Enumeration DateJuly 12, 2018
Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1104302298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Licenses✔ Licensed in NC · P23364✔ Licensed in SC · 11288
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 27017 (MD)
131 PROVIDENCE RD STE 100, Charlotte, NC 28207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathon Gardner's NPI number?

The NPI number for Jonathon Gardner is 1104302298. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Jonathon Gardner located?

Jonathon Gardner practices at 131 Providence Rd Ste 100, Charlotte, NC 28207. The listed phone number is (980) 265-8869.

What is Jonathon Gardner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

What insurance does Jonathon Gardner accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Jonathon Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathon Gardner was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.