Individual provider Active NPI

Katherine Stewart Dewitt, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1235536020
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
8054 Issued in NC
Practice address
10660 Park Rd Ste 3200
Charlotte, NC 28210-8420
Phone
(704) 667-2500
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 7433 SC
Physical Rehabilitation Occupational Therapist 225XP0019X 8054 NC Primary

Addresses

Primary practice location

10660 Park Rd Ste 3200
Charlotte, NC 28210-8420

Mailing address

2045 Manila Bay LN
Tega Cay, SC 29708-8524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124003529 NC Practitioner - Occupational Therapist in Private Practice 1254854169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4435 Golf Acres Dr
Charlotte, NC 28208-5947

PO Box
Suite 19305
Charlotte, NC 28219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7433SCMDOccupational Therapist
8054NCMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Atrium Health Specialty Network Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 9, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 9, 2025 Accepting new patients

Locations

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

487 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 403-0100

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

134 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3130

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1235536020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MANILA BAY LN",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 PARK RD STE 3200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108420",
            "telephone_number": "704-667-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "KATHERINE",
        "middle_name": "STEWART",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7433",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NC",
            "license": "8054",
            "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 Dec 5, 2024; 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.