Origin Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORIGIN REHABILITATION, LLC

Practice address

7900 Matthews Mint Hill Rd Ste 300
Mint Hill, NC 28227-6566

Phone

(704) 905-1333

Fax

(704) 565-4285

NPI assigned

Jun 2, 2020

Last updated

Jan 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Charles Reed III, PTNPI 1194127969

Title

Founder, Physical Therapist

Phone

(704) 905-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Charles Reed III, PT

  • Physical Therapist
  • Mint Hill, NC
  • NPI 1194127969

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Ryan McFarland, PT

  • Physical Therapist
  • Mint Hill, NC
  • NPI 1235992090
  Medicare reassignment Care Compare group NPD
• Mattie Ablitz, MOTR/L

  • Occupational Therapist
  • Matthews, NC
  • NPI 1417232661

  SC

  Medicare reassignment NPD
• Christopher Michael Hux, DPT

  • Physical Therapist
  • Matthews, NC
  • NPI 1255715413
  Medicare reassignment NPD
• Katrina Faulkner

  • Physical Therapy Assistant
  • Mint Hill, NC
  • NPI 1639838717
  NPD (past)

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1073137410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 300",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276566",
            "telephone_number": "704-905-1333",
            "fax_number": "704-565-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 300",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276566",
            "telephone_number": "704-905-1333",
            "fax_number": "704-565-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "FOUNDER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "704-905-1333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194127969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novant Health Medical Group, LLC (Novant Health Mint Hill Family Medicine)
• Novant Medical Group, Inc. (Novant Health Mint Hill OB/GYN)
• Novant Medical Group, Inc. (Novant Health Diabetes & Nutrition)
• Novant Medical Group, Inc. (Novant Health Pine Lake Family Physicians)
• Diana Opiyo
• Mark E Oxendine, RPH.
• Sarah Beth Page, LCMHCS, LCAS, CCS
• Kylee Paglia, M.S. CCC-SLP
• James Jaehyun Park, DDS
• Abigail Pate

• Physical Therapist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.