Individual provider · Type 1 NPI
Jonathon Wesley Gardner, PT, DPT, SCS, CSCS
Sports Physical Therapist · Charlotte, NC
Practice location
131 Providence Rd Ste 100
Charlotte, NC 28207-1251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist | 2251S0007X | 11288 (SC) |
| Orthopedic Physical Therapist | 2251X0800X | 27017 (MD) |
| Sports Physical Therapist Primary | 2251S0007X | P23364 (NC) |
Sports Physical Therapist: 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, medica…
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About NPI 1104302298
Jonathon Wesley Gardner, PT, DPT, SCS, CSCS's National Provider Identifier is 1104302298, issued on Jul 12, 2018. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Charlotte, NC. The record was last updated on Feb 25, 2025.