Individual provider Active NPI

Ariel Sheree Thompson, OT

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1306402334
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15977 Issued in NC
Practice address
15825 Ballantyne Medical PL Ste 120
Charlotte, NC 28277-4790
Phone
(704) 323-3409
Fax
(704) 323-3982
NPI assigned
May 15, 2019
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5285 SC
Occupational Therapist 225X00000X 175676 AZ
Occupational Therapist 225X00000X 15977 NC Primary

Addresses

Primary practice location

15825 Ballantyne Medical PL Ste 120
Charlotte, NC 28277-4790

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-3611

Other practice location 1

5935 Carnegie Blvd
Charlotte, NC 28209-4668
Phone (980) 299-4898

Other practice location 2

6237 Carolina Commons Dr Ste 110
Indian Land, SC 29707-6014
Phone (803) 306-8861

Other practice location 3

197 Piedmont Blvd
Rock Hill, SC 29732-1824
Phone (803) 909-6447

Other practice location 4

710 Park Center Dr
Matthews, NC 28105-5081
Phone (704) 323-3208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825002497 NC Practitioner - Occupational Therapist in Private Practice 3476881764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheelchair Clinic IncGroup PAC ID 0941613590, 51 clinicians

Practice addresses (Care Compare)

4307 Western Park Place
Suite 204
Durham, NC 27705-1224
Phone (833) 233-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175676AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Wheelchair Clinic Inc Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Physical Rehabilitation Group CurrentSince Dec 12, 2021 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Orthocarolina Occupational Therapist PastSince Jul 9, 2023 Accepting new patients
Physical Rehabilitation Group Past Accepting new patients
Foundation Health Systems LLC Occupational Therapist PastSince Jul 9, 2023 Accepting new patients

Locations

2826 Randolph Rd
Fl 2
Charlotte, NC 28211
Phone (704) 280-6844

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

4307 Western Park Pl
Ste 204
Durham, NC 27705
Phone (801) 440-5592

2608 Main St
Unit A
Conway, SC 29526
Phone (803) 732-5887

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 7

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1306402334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 BALLANTYNE MEDICAL PL STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774790",
            "telephone_number": "704-323-3409",
            "fax_number": "704-323-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5935 Carnegie Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282094668",
            "country_code": "US",
            "telephone_number": "980-299-4898",
            "fax_number": "980-960-2412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6237 Carolina Commons Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297076014",
            "country_code": "US",
            "telephone_number": "803-306-8861",
            "fax_number": "803-849-8396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Piedmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321824",
            "country_code": "US",
            "telephone_number": "803-909-6447",
            "fax_number": "803-440-8457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Park Center Dr",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055081",
            "country_code": "US",
            "telephone_number": "704-323-3208",
            "fax_number": "704-323-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ARIEL",
        "middle_name": "SHEREE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5285",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "175676",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15977",
            "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, 2023; 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.