Individual provider Active NPI

Chad E Wilson, OT

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1043403629
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10199 Issued in NC
Practice address
101 E WT Harris Blvd Ste 5001
Charlotte, NC 28262-3574
Phone
(704) 583-5763
NPI assigned
Aug 27, 2007
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10199 NC Primary

Addresses

Primary practice location

101 E WT Harris Blvd Ste 5001
Charlotte, NC 28262-3574

Mailing address

9337 Miami Bluff Dr
Huntersville, NC 28078-5534
Phone (520) 661-2614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112004070 NC Practitioner - Occupational Therapist in Private Practice 4082707641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians
Ascanio Physical TherapyGroup PAC ID 7416358767, 3 clinicians

Practice addresses (Care Compare)

16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 801-2501

19607 W Catawba Ave
Suite 102
Cornelius, NC 28031-4042
Phone (704) 625-6191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10199NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Atrium Health Specialty Network Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Ascanio Physical Therapy CurrentSince Jan 31, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 5001
Charlotte, NC 28262
Phone (704) 547-7319

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

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

19607 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 625-6191

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

9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310

Organizations & group practices 5

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1043403629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337 MIAMI BLUFF DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785534",
            "telephone_number": "520-661-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WT HARRIS BLVD STE 5001",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623574",
            "telephone_number": "704-583-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHAD",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2026; 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.