Active NPI
Maryan Nader Wicker, D.P.T
- Physical Therapist
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20298
- Practice address
- 9615 Northcross Center CT Ste B
Huntersville, NC 28078-7300 - Phone
- (844) 935-3677
- Fax
- (855) 351-6222
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20298 | NC | Primary |
Addresses
Primary practice location
9615 Northcross Center CT Ste B
Huntersville, NC 28078-7300
Mailing address
9933 Travertine TRL
Davidson, NC 28036-7654
Phone (551) 221-1983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01602700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Kessler Institute for Rehabilitation, Inc. | Past | Accepting new patients | |
| Kessler Institute for Rehabilitation Inc | Past | Accepting new patients |
Locations
60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
705 Griffith St
Ste 303
Davidson, NC 28036
Phone (704) 894-0166
320 Jake Alexander Blvd W
Ste 106
Salisbury, NC 28147
Phone (704) 636-0052
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
-
- Physical Therapy Clinic/Center
- Asheville, NC
- NPI 1235741521
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
-
- Rehabilitation Hospital
- Marlton, NJ
- NPI 1528512266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1053704080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 TRAVERTINE TRL",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280367654",
"telephone_number": "551-221-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 NORTHCROSS CENTER CT STE B",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787300",
"telephone_number": "844-935-3677",
"fax_number": "855-351-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKER",
"first_name": "MARYAN",
"middle_name": "NADER",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.