Organization Active NPI

One Site Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
National Provider Identifier
1407232143
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ONE SITE THERAPY, PLLC
Practice address
10917 Black Dog LN Ste 104
Charlotte, NC 28214-1461
Phone
(704) 231-9331
Fax
(704) 288-4779
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Mrs. Catherine B. Crawford, MOTR/L, CLTNPI 1710204284
Title
Director/ Occupational Therapist
Phone
(800) 557-8032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10917 Black Dog LN Ste 104
Charlotte, NC 28214-1461

Mailing address

10917 Black Dog LN Ste 104
Charlotte, NC 28214-1486
Phone (800) 557-8032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181111000022 NC Part B Supplier - Clinic/Group Practice 0244584274 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

1015 East Blvd
Charlotte, NC 28203
Phone (704) 904-0631

10917 Black Dog Ln
Ste 104
Charlotte, NC 28214
Phone (704) 904-0631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1407232143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 BLACK DOG LN STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141486",
            "telephone_number": "800-557-8032",
            "fax_number": "800-557-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 BLACK DOG LN STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141461",
            "telephone_number": "704-231-9331",
            "fax_number": "704-288-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SITE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "800-557-8032",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.