Individual provider Active NPI

Mary Cecilia Gardner, OT/L

  • Occupational Therapist
  • Huntersville, NC
National Provider Identifier
1437952124
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6239 Issued in NC
Practice address
12427 Swan Wings PL
Huntersville, NC 28078-2342
Phone
(704) 956-3417
Fax
(704) 956-3417
NPI assigned
Mar 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6239 NC Primary

Addresses

Primary practice location

12427 Swan Wings PL
Huntersville, NC 28078-2342

Mailing address

12427 Swan Wings PL
Huntersville, NC 28078-2342
Phone (704) 956-3417

Other practice location 1

56 N Highland Ave
Granite Falls, NC 28630-1205
Phone (828) 396-3111

Other names 1

  • Marcie Gardner Other name

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

LicenseStateTypeSpecialty
6239NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1437952124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 SWAN WINGS PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782342",
            "telephone_number": "704-956-3417",
            "fax_number": "704-956-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12427 SWAN WINGS PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782342",
            "telephone_number": "704-956-3417",
            "fax_number": "704-956-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Granite Falls",
            "state": "NC",
            "postal_code": "286301205",
            "country_code": "US",
            "telephone_number": "828-396-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARY",
        "middle_name": "CECILIA",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "GARDNER",
            "credential": "OT/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.