OrganizationActive
Novant Medical Group Inc
NPI 1407197643 · Physical Therapist · Huntersville, NC
Provider details
- NPI number
- 1407197643
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shala Davis, Managed Care Manager(704) 303-7517
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14330 Oakhill Park Ln Ste 115
Huntersville, NC 28078-3479
Phone: (704) 316-1265
Fax: (704) 316-1266
Street-level locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Other names (DBA / former)
- Doing business as
- Novant Health Lakeside Physical Therapy & Sports Medicine
- Doing business as
- Novant Health Lakeside Physical Therapy & Sports Medicine
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2021-08-17
- Certified
- 2021-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.