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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: October 25, 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 Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathon Wesley Gardner Pt, Dpt, Scs, Cscs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathon Gardner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rebound Health & Performance
9.1 mi
Physical Therapist
2819 BRIAR RIDGE DR
Charlotte, NC 28270
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1982423661 (843) 618-2037
Architech Sports And Physical Therapy, LLC
12 mi
Orthopedic
8918 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 49 clinicians in this Medicare group
NPI 1780834697 (704) 900-8960

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Jonathon Gardner enrolled in Medicare?

Yes. Jonathon Gardner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathon Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Gardner reassigns Medicare benefits to 2 organizations: Rebound Health & Performance (Charlotte, NC) and Architech Sports And Physical Therapy, LLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathon Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathon Gardner accept?

Health plans from Blue Cross and Blue Shield of NC 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 20 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.