Carissa Noelle Wittenbach, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21321 Issued in NC

Practice address

4700 Lebanon Rd Ste D2
Mint Hill, NC 28227-8265

Phone

(704) 366-7723

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greg Otts Center for Physical Therapy and Sports Performance LLCGroup PAC ID 3274661988, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greg Ott'S Center for Physical Therapy and Sports Performance, LLC

  • Physical Therapist
  • Charlotte, NC
  • NPI 1073835765
  Medicare reassignment Care Compare group NPD
• Greg Ott'S Center for Physical Therapy and Sports Performance, LLC

  • Physical Therapist
  • Mooresville, NC
  • NPI 1427397603
  NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1174028237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 EARLEY ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280839207",
            "telephone_number": "571-239-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEBANON RD STE D2",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282278265",
            "telephone_number": "704-366-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBACH",
        "first_name": "CARISSA",
        "middle_name": "NOELLE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21321",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-4668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willem Senior Alliance
• Andrea Nicole Williams, M.S.P, SLP
• Austin Williams, DR.
• Chandra Denise Williams
• Alyson Winter, LCSW-A
• Rahel Hailemichael Woldemariam, MD
• Joey Pok Si Yip, PT
• Kisha Rochelle Young, M.D.
• Joshua Connor Younis, DMD
• Mary Jo Zulli, OTR/L

• 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 Dec 4, 2025; 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.