Active NPI
Mollie H Rackley
- Occupational Therapist
- Wilmington, NC
National Provider Identifier
1336087204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0563
- Practice address
- 4321 Carolina Beach Rd
Wilmington, NC 28412-7333 - Phone
- (910) 790-2236
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 0563 | NC | Primary |
Addresses
Primary practice location
4321 Carolina Beach Rd
Wilmington, NC 28412-7333
Mailing address
1082 South 15TH Street
Wilmington, NC 28411
Phone (910) 540-1551
Other practice location 1
6701 Gordon Rd
Wilmington, NC 28411-8465
Phone (910) 540-1551
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 |
|---|---|---|---|
| 0563 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1336087204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 SOUTH 15TH STREET",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28411",
"telephone_number": "910-540-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 CAROLINA BEACH RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284127333",
"telephone_number": "910-790-2236"
}
],
"practiceLocations": [
{
"address_1": "6701 Gordon Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284118465",
"country_code": "US",
"telephone_number": "910-540-1551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RACKLEY",
"first_name": "MOLLIE",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "0563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.