Organization Active NPI

Next Dimension Upper Extremity Stroke Rehab and Fitness PLLC

  • Physical Rehabilitation Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1033783279
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
NEXT DIMENSION UPPER EXTREMITY STROKE REHAB AND FITNESS PLLC
Practice address
10516 Bere Island Dr
Charlotte, NC 28278-6645
Phone
(304) 216-1487
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Tiffany Moulton, OTR/L
Title
Business Owner
Phone
(304) 216-1487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

10516 Bere Island Dr
Charlotte, NC 28278-6645

Mailing address

10516 Bere Island Dr
Charlotte, NC 28278-6645
Phone (304) 216-1487

Other names 1

  • Next Dimension Rehab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charlotte Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210714000915 NC Part B Supplier - Clinic/Group Practice 6507268521 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

1202 Beatties Ford Rd
Charlotte, NC 28216
Phone (304) 216-1487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033783279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786645",
            "telephone_number": "304-216-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786645",
            "telephone_number": "304-216-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT DIMENSION UPPER EXTREMITY STROKE REHAB AND FITNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-09-11",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "304-216-1487",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "endpointDescription": "Www.hellonote.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10516 Bere Island Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282786645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Next Dimension Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.