Individual provider Active NPI

Antoinette Ohlson, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1366423964
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6478 Issued in NC
Practice address
4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone
(704) 392-4057
Fax
(704) 392-4788
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 6478 NC Primary

Addresses

Primary practice location

4221 Tuckaseegee Rd
Charlotte, NC 28208-2801

Mailing address

PO Box 667744
Charlotte, NC 28266-7744
Phone (704) 588-4757

Other identifiers 2

IdentifierTypeStateIssuer
7068098OtherNCAETNA
0787FOtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002888 FL Practitioner - Physical Therapist in Private Practice 6709811888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisico Therapy Solutions LLC 2 clinicians

Practice addresses (Care Compare)

5899 Whitfield Ave
Suite 100
Sarasota, FL 34243-3127
Phone (941) 355-5565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6478NCMDSpeech-Language Pathologist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Fisico Therapy Solutions LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. Past Accepting new patients
Body Mechaniques Inc. Past Accepting new patients

Locations

5899 Whitfield Ave
Ste 100
Sarasota, FL 34243
Phone (941) 355-5565

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366423964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667744",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282667744",
            "telephone_number": "704-588-4757",
            "fax_number": "704-583-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082801",
            "telephone_number": "704-392-4057",
            "fax_number": "704-392-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSON",
        "first_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7068098",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0787F",
            "state": "NC"
        }
    ],
    "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 13, 2026; 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.