Individual provider Active NPI

Claire Ilana Mutka

  • Physical Therapist
  • Waxhaw, NC
National Provider Identifier
1306773767
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24866 Issued in NC
Practice address
2300 Gallberry LN
Waxhaw, NC 28173-0161
Phone
(704) 843-9045
NPI assigned
May 7, 2026
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24866 NC Primary

Addresses

Primary practice location

2300 Gallberry LN
Waxhaw, NC 28173-0161

Mailing address

1433 Lewis Landing Ave
Wilmington, NC 28405-4483
Phone (716) 523-9017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Therapy Solutions, PLLCGroup PAC ID 7113337700, 14 clinicians

Practice addresses (Care Compare)

9020 Senca Dr
Suite 220
Wilmington, NC 28411-6680
Phone (910) 264-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24866NCMDPhysical Therapist

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": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1306773767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 LEWIS LANDING AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054483",
            "telephone_number": "716-523-9017"
        },
        {
            "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": "704-843-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTKA",
        "first_name": "CLAIRE",
        "middle_name": "ILANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.