Active NPI
Grace Rettew
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1326626268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16503
- Practice address
- 1140 Turnbridge Rd
Charlotte, NC 28226-5862 - Phone
- (919) 260-8438
- NPI assigned
- Mar 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16503 | NC | Primary |
Addresses
Primary practice location
1140 Turnbridge Rd
Charlotte, NC 28226-5862
Mailing address
427 Hurston Cir
Charlotte, NC 28208-4869
Phone (336) 402-5933
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 |
|---|---|---|---|
| 16503 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Therapy LLC | Occupational 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 and National Provider Directory roles.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1316401862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1326626268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 HURSTON CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282084869",
"telephone_number": "336-402-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 TURNBRIDGE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282265862",
"telephone_number": "919-260-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTEW",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16503",
"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 Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.