CHARLOTTE SPORTS PERFORMANCE AND REHAB, LLC
NPI 1184008914
Chiropractor in Charlotte, NC

Active since July 10, 2015
2935 PROVIDENCE RD, SUITE 204, CHARLOTTE, NC 28211(980) 237-4016(866) 430-9402 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charlotte Sports Performance And Rehab, Llc NPPES

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

CHARLOTTE SPORTS PERFORMANCE AND REHAB, LLC (NPI 1184008914) is a healthcare organization registered as a chiropractor in Charlotte, North Carolina and active in the NPI registry since July 2015. The organization lists Laura Watterson, Owener, as its authorized official.

NPPES Registry Identity

NPI1184008914
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHARLOTTE SPORTS PERFORMANCE AND REHAB, LLC
Location Address2935 PROVIDENCE RD, SUITE 204Charlotte, NC 28211-2750
Mailing Address2935 Providence Rd, Suite 204Charlotte, NC 28211-2750 · (980) 237-4016 · Fax (866) 430-9402
Fax(866) 430-9402
Organization SubpartNo
Authorized OfficialLaura WattersonOwener · (980) 237-4016
Enumeration DateJuly 10, 2015
NPI 1184008914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 4207
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2935 PROVIDENCE RD, Charlotte, NC 28211

Other Identifiers 1

OtherNC4419B961NC · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
2935 PROVIDENCE RD, SUITE 106
CHARLOTTE, NC 28211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184008914, enumerated as an "organization" on July 10, 2015.

The provider is located at 2935 PROVIDENCE RD SUITE 204 CHARLOTTE, NC 28211 and the phone number is (980) 237-4016.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.