Organization Active NPI

Queen City Therapy, PLLC

Doing business as Little Wonders 123

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1154813681
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
QUEEN CITY THERAPY, PLLC
Doing business as
Little Wonders 123
Little Wonders Pediatric Therapy
Practice address
5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690
Phone
(704) 752-1616
NPI assigned
May 31, 2018
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Nicholas Andrew McDaniel
Title
Vice President
Phone
(704) 752-1616

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224ZF0002X
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690

Mailing address

204 Wood Duck Loop
Mooresville, NC 28117-8136
Phone (336) 596-5112

Other practice location 1

8420 University Exec Park Dr Ste 825
Charlotte, NC 28262-1346
Phone (704) 752-1616

Other practice location 2

320 Seagle St Ste 9
Huntersville, NC 28078-4337
Phone (704) 752-1616

Other names 2

  • Little Wonders 123 Doing business as
  • Little Wonders Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5113 Piper Station Dr
Charlotte, NC 28277
Phone (704) 312-2441

5113 Piper Station Dr
Ste 103
Charlotte, NC 28277
Phone (704) 752-1616

320 Seagle St
Ste 9
Huntersville, NC 28078
Phone (704) 752-1616

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1154813681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WOOD DUCK LOOP",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178136",
            "telephone_number": "336-596-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776690",
            "telephone_number": "704-752-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 University Exec Park Dr Ste 825",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621346",
            "country_code": "US",
            "telephone_number": "704-752-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Seagle St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784337",
            "country_code": "US",
            "telephone_number": "704-752-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEEN CITY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-752-1616"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Wonders 123",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Wonders 123",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Wonders Pediatric Therapy",
            "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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.