Athelite Physical Performance Center of Lake Norman, LLC
NPI 1669772802ActiveOrganization· Physical Therapist· Statesville, NC
Physical Therapist in Statesville, North Carolina, registered in NPPES in October 2010. The authorized official on file is Brian J. Boyle, P.T.; D.P.T., Ceo.
Overview
| NPI | 1669772802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2010 |
| Last updated in NPPES | Jan 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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