Individual provider Active NPI

Elyssa L Ronda, OTD, OTR/L

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1205596400
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18421 Issued in NC
Practice address
9908 Couloak Dr Ste 100
Charlotte, NC 28216-8678
Phone
(704) 801-3065
Fax
(704) 801-3066
NPI assigned
Dec 29, 2021
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014661 IL
Occupational Therapist 225X00000X 18421 NC Primary

Addresses

Primary practice location

9908 Couloak Dr Ste 100
Charlotte, NC 28216-8678

Mailing address

9908 Couloak Dr Ste 100
Charlotte, NC 28216-8678
Phone (704) 801-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220112000895 IL Practitioner - Occupational Therapist in Private Practice 3476945031 Reassigns benefits to 1 organization
I20260619000136 NC Practitioner - Occupational Therapist in Private Practice 3476945031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motivate Health IncGroup PAC ID 0042468357, 5 clinicians
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

4920 E State St
Suite 4
Rockford, IL 61108-2262
Phone (815) 637-1100

9908 Couloak Dr
Suite 100
Charlotte, NC 28216-8678
Phone (704) 801-3065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.014661ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motivate Health Inc CurrentSince Jan 10, 2022 Accepting new patients
Atrium Health Specialty Network Inc Occupational Therapist CurrentSince Jun 1, 2026 Accepting new patients
Carolinas Rehabilitation PastSince Jun 1, 2026 Accepting new patients

Locations

3057 N Perryville Rd
Rockford, IL 61114
Phone (815) 637-1100

4920 E State St
Ste 4
Rockford, IL 61108
Phone (815) 601-6627

9908 Couloak Dr
Ste 100
Charlotte, NC 28216
Phone (704) 801-3065

Organizations & group practices 3

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1205596400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 COULOAK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168678",
            "telephone_number": "704-801-3065",
            "fax_number": "704-801-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 COULOAK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168678",
            "telephone_number": "704-801-3065",
            "fax_number": "704-801-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDA",
        "first_name": "ELYSSA",
        "middle_name": "L",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014661",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "18421",
            "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 Jul 6, 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.