JONATHON WESLEY GARDNER PT DPT SCS CSCS NPI 1104302298

NPI Information

  • NPI: 1104302298
  • Provider Name: JONATHON WESLEY GARDNER, PT, DPT, SCS, CSCS
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Individual
  • Address: 131 PROVIDENCE RD STE 100
    CHARLOTTE, NC
    ZIP 28207
  • Phone: (980) 265-8869

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NPI Details

Jonathon Wesley Gardner, PT, DPT, SCS, CSCS is a sports physical therapist in Charlotte, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Jonathon Wesley Gardner, PT, DPT, SCS, CSCS NPI is 1104302298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

131 PROVIDENCE RD STE 100
CHARLOTTE, NC
ZIP 28207-251
Phone: (980) 265-8869

The enumeration date for this NPI number is 7/12/2018 and was last updated on 2/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSports11288SOUTH CAROLINANo
22251X0800XPhysical TherapistOrthopedic27017MARYLANDNo
32251S0007XPhysical TherapistSportsP23364NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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