Jonathon Gardner, PT, DPT, SCS, CSCS
Jonathon Gardner, PT, DPT, SCS, CSCS is a Sports Physical Therapist in Charlotte, NC, registered under NPI 1104302298. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 131 PROVIDENCE RD STE 100, Charlotte, NC 28207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| P23364 | NC | Sports Physical Therapist primary |
| 11288 | SC | Sports Physical Therapist |
| 27017 | MD | Orthopedic Physical Therapist |
Licences are recorded in 3 states: NC, SC, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 4789913955
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Maryland, North Carolina and South Carolina. The practice address on file is in Charlotte, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- P23364
- Specialty
- Sports Physical Therapist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Sports covers
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. NUCC Health Care Provider Taxonomy, code 2251S0007X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251S0007X | Sports Physical Therapist Sports | P23364 | NC | primary |
| 2251S0007X | Sports Physical Therapist Sports | 11288 | SC | |
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 27017 | MD |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104302298 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 12, 2018 |
| Last updated | Feb 25, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PT, DPT, SCS, CSCS |
| Practice address |
131 PROVIDENCE RD STE 100 Charlotte, NC 28207 (980) 265-8869 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 3 | 0 | 2 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 6 | 0 | 4 | 2 | 9 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.