Organization Active NPI

Carolina Hand Therapy Specialist PLLC

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1205795010
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CAROLINA HAND THERAPY SPECIALIST PLLC
Practice address
11425 Faires Rd
Charlotte, NC 28215-8434
Phone
(614) 390-8049
NPI assigned
Jan 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Marcie Siebert, OT
Title
Member
Phone
(614) 390-8049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

11425 Faires Rd
Charlotte, NC 28215-8434

Mailing address

11425 Faires Rd
Charlotte, NC 28215-8434
Phone (614) 390-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309002274 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648753699 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Hand Therapy Specialist PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3535 Randolph Rd
Ste 206
Charlotte, NC 28211
Phone (614) 390-8049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1205795010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 FAIRES RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158434",
            "telephone_number": "614-390-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 FAIRES RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158434",
            "telephone_number": "614-390-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HAND THERAPY SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-390-8049",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Jan 17, 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.

Verify at the official NPI Registry.