Active NPI
Stephanie Wolla O'Connell, DPT
- Physical Therapist
- Waxhaw, NC
National Provider Identifier
1295040897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17584
- Practice address
- 2300 Gallberry LN
Waxhaw, NC 28173-0161 - Phone
- (704) 649-4509
- NPI assigned
- Aug 9, 2010
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P17584 | NC | Primary |
| Pediatric Physical Therapist | 2251P0200X | 6262 | SC |
Addresses
Primary practice location
2300 Gallberry LN
Waxhaw, NC 28173-0161
Mailing address
2510 Hatherly Rd
Charlotte, NC 28209-3455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17584 | NC | MD | Physical Therapist |
| 6262 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1295040897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 HATHERLY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GALLBERRY LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730161",
"telephone_number": "704-649-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "STEPHANIE",
"middle_name": "WOLLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17584",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "6262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
- Novant Health Medical Group, LLC (Novant Health Neurology and Sleep)
- Novant Medical Group, Inc (Total Spine Specialists)
- Novant Medical Group, Inc. (Presbyterian Psychiatric Associates)
- Novant Medical Group, Inc. (Novant Health Primary Care Marvin Creek)
- Isioma Nwaeme-Ngidi, FNP
- Taylor Rae O'Toole, OTR/L
- Oasis Total Development, Inc.
- Occupational Therapy South
- Occupational Therapy South
- Lisa Oconnor, MOTRL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.