Ivyrehab North Carolina LLC
NPI 1629568647 · Physical Medicine & Rehabilitation Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivyrehab North Carolina LLC is a Physical Medicine & Rehabilitation Physician organization in Charlotte, NC (NPI 1629568647).
Provider details
- NPI number
- 1629568647
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Rucker, Ceo(914) 777-8700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Ivyrehab North Carolina LLC's NPI number?
- Ivyrehab North Carolina LLC's National Provider Identifier (NPI) is 1629568647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivyrehab North Carolina LLC?
- Ivyrehab North Carolina LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ivyrehab North Carolina LLC located?
- Ivyrehab North Carolina LLC's practice location on file with NPPES is 5960 Fairview Rd, Charlotte, NC 28210-3102.
- What is Ivyrehab North Carolina LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivyrehab North Carolina LLC is (980) 224-7958.
- Does Ivyrehab North Carolina LLC accept Medicare?
- Ivyrehab North Carolina LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivyrehab North Carolina LLC?
- The authorized official listed on Ivyrehab North Carolina LLC's NPPES record is Michael Rucker, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivyrehab North Carolina LLC's NPI active?
- Yes — Ivyrehab North Carolina LLC's NPI (1629568647) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.