OrganizationActive
Advanced Sports & Spine, PLLC
NPI 1629422738 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Charlotte, NC
Provider details
- NPI number
- 1629422738
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Usman Ahmad, Sole Member
- License
- 2015-01401 (NC)
Practice location
8035 Providence Rd
#340
Charlotte, NC 28277-9716
Phone: (704) 542-3988
Mailing address
8035 Providence Rd Ste 340
Charlotte, NC 28277-9717
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.