MOORESVILLE SPORTS & PHYSICAL THERAPY, LLC
NPI 1700458650
Clinic/Center - Physical Therapy in Mooresville, NC
About Mooresville Sports & Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOORESVILLE SPORTS & PHYSICAL THERAPY, LLC (NPI 1700458650) is a healthcare organization registered as a physical therapy in Mooresville, North Carolina and active in the NPI registry since July 2021. The organization lists Edward Heller, Owner/physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mooresville Sports & Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mooresville Sports & Physical Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mooresville Sports & Physical Therapy, LLC's NPI number?
The NPI number for Mooresville Sports & Physical Therapy, LLC is 1700458650. It was assigned to this organization in the NPPES registry on July 12, 2021.
Where is Mooresville Sports & Physical Therapy, LLC located?
Mooresville Sports & Physical Therapy, LLC is located at 478 Williamson Rd Ste E, Mooresville, NC 28117. The listed phone number is (704) 696-8223.
What is Mooresville Sports & Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Mooresville Sports & Physical Therapy, LLC enrolled in Medicare?
Yes. Mooresville Sports & Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Mooresville Sports & Physical Therapy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mooresville Sports & Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Mooresville Sports & Physical Therapy, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mooresville Sports & Physical Therapy, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Mooresville Sports & Physical Therapy, LLC 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 Mooresville Sports & Physical Therapy, LLC was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mooresville Sports & Physical Therapy, Llc · NPI 1700458650
Physical Therapy organization in Mooresville, North Carolina. Organization record, active in the CMS NPPES registry since July 12, 2021.
## Identity
- **NPI:** 1700458650 (Entity type: Organization)
- **Enumerated:** July 12, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Edward Heller, OWNER/PHYSICAL THERAPIST
## Practice location
- **Address:** 478 WILLIAMSON RD STE E, Mooresville, NC 28117-9109
- **Phone:** (704) 696-8223 · **Fax:** (704) 696-8231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700458650) · Data from the CMS NPPES public registry.