Individual provider Active NPI

Rochelle Gabriela Masudal, OTR/L

  • Hand Occupational Therapist
  • Concord, NC
National Provider Identifier
1003396383
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
10509 Issued in NC
Practice address
1090 NE Gateway CT NE Ste 204a
Concord, NC 28025-2414
Phone
(704) 403-9239
NPI assigned
Aug 16, 2018
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10509 NC
Hand Occupational Therapist 225XH1200X 10509 NC Primary

Addresses

Primary practice location

1090 NE Gateway CT NE Ste 204a
Concord, NC 28025-2414

Mailing address

1090 NE Gateway CT NE Ste 204a
Concord, NC 28025-2414
Phone (704) 403-9239

Other identifiers 1

IdentifierTypeStateIssuer
1003396383MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000330 NC Practitioner - Occupational Therapist in Private Practice 3173927050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

1090 NE Gateway CT NE
Suite 204
Concord, NC 28025-2423
Phone (704) 403-7020

3030 Randolph Rd
Suite 105a
Charlotte, NC 28211-1365
Phone (704) 512-4420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10509NCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 2, 2021 Accepting new patients
Wakemed Specialists Group, LLC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients
Atrium Health Specialty Network Inc Occupational Therapist CurrentSince Aug 24, 2025 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 24, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 24, 2025 Accepting new patients
Carolinas Rehabilitation PastSince Apr 27, 2025 Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

1090 NE Gateway Ct NE
Ste 204
Concord, NC 28025
Phone (704) 403-7020

1090 NE Gateway Ct NE
Ste 204A
Concord, NC 28025
Phone (704) 403-9100

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1003396383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NE GATEWAY CT NE STE 204A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252414",
            "telephone_number": "704-403-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NE GATEWAY CT NE STE 204A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252414",
            "telephone_number": "704-403-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDAL",
        "first_name": "ROCHELLE",
        "middle_name": "GABRIELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10509",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "10509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003396383",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.