Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Athelite Physical Performance Center of Lake Norman, LLC

Organization Physical Therapist · NPI 1669772802

Athelite Physical Performance Center of Lake Norman, LLC provides Physical Therapist services in Statesville, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2809 Amity Hill Rd
Statesville, NC 28677-9744 Not confirmed with CMS for 15 years — call before visiting
Phone: (704) 768-1013
Fax: (704) 264-0711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1669772802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Boyle — Ceo · (704) 241-0889
Other names Athelite Ppc
NPI enumeratedOctober 21, 2010
Last updated in NPPESJanuary 13, 2011
Mailing address1385 E Garrison Blvd, Gastonia, NC 28054-5127

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