Individual provider Active NPI

Caroline Howard, PTA

  • Physical Therapy Assistant
  • Waxhaw, NC
National Provider Identifier
1457152308
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A8573 Issued in NC
Practice address
105 Waxhaw Professional Park Dr Ste B
Waxhaw, NC 28173-5018
Phone
(704) 843-7000
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A8573 NC Primary

Addresses

Primary practice location

105 Waxhaw Professional Park Dr Ste B
Waxhaw, NC 28173-5018

Mailing address

500 Westend Dr
Monroe, NC 28112-6444
Phone (843) 601-8540

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
A8573NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center,LLC CurrentSince Mar 30, 2025 Accepting new patients
Orthocarolina PastSince Mar 30, 2025 Accepting new patients

Locations

105 Waxhaw Professional Park Dr
Ste B
Waxhaw, NC 28173
Phone (704) 610-5024

Organizations & group practices 2

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1457152308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTEND DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126444",
            "telephone_number": "843-601-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE B",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-843-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CAROLINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.