# ATRIUM HEALTH SPECIALTY NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Atrium Health Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679469027
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** DR. SCOTT C RISSMILLER MD (PRESIDENT)
- **Authorized official phone:** (704) 631-0002

## Contact information

- **Practice address:** 3030 RANDOLPH RD, CHARLOTTE, NC 28211-1368
- **Practice address phone:** (704) 512-4420
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/13/2025
- **Last updated:** 06/13/2025