CARLY HOLTHAUSEN PT, DPT
NPI 1336751593
Physical Therapist in Charlotte, NC

Active since August 19, 2020Accepts Medicare Assignment
3030 RANDOLPH RD STE 105, CHARLOTTE, NC 28211(704) 512-4420 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2025, Aug 19, 2020 (2 updates tracked since 2020).

About Carly Holthausen Pt, Dpt NPPES

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

CARLY HOLTHAUSEN PT, DPT (NPI 1336751593) is an individual physical therapist in Charlotte, North Carolina, licensed in North Carolina (P23952) and active in the NPI registry since August 2020. She maintains a secondary practice location in Cayce and is a graduate of Medical University Of South Carolina College Of Medicine (2020).

NPPES Registry Identity

NPI1336751593
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCARLY HOLTHAUSENCredential: PT, DPT
Location Address3030 RANDOLPH RD STE 105Charlotte, NC 28211-1365
Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2020
Enumeration DateAugust 19, 2020
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1336751593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in NC · P23952 Licensed in SC · 10343
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3030 RANDOLPH RD STE 105, Charlotte, NC 28211

Secondary Practice Location 1

Location 11105 12th StCayce, SC 29033-3304 · Phone (803) 973-0100 · Fax (803) 973-0117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carly Holthausen Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123408093
PECOS Enrollment IDI20251209000970

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
759 services43 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
626 services40 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
342 services37 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
231 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211
Orthopaedic Surgery (Sports Medicine)
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211
Physical Therapist
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211
Physical Therapist
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211
Physical Therapist (Orthopedic)
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211
Physician Assistant
3030 RANDOLPH RD STE 105
CHARLOTTE, NC 28211

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 Carly Holthausen's NPI number?

The NPI number for Carly Holthausen is 1336751593. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Carly Holthausen located?

Carly Holthausen practices at 3030 Randolph Rd Ste 105, Charlotte, NC 28211. The listed phone number is (704) 512-4420.

What is Carly Holthausen's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Carly Holthausen enrolled in Medicare?

Yes. Carly Holthausen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carly Holthausen 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 2 other insurers list Carly Holthausen 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 Carly Holthausen was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.