Individual provider Active NPI

Danielle Marie Wolfe, PT, DPT, ATC

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1497491880
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21244 Issued in NC
Practice address
3030 Randolph Rd Ste 105
Charlotte, NC 28211-1365
Phone
(704) 512-4420
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 P21244 NC Primary

Addresses

Primary practice location

3030 Randolph Rd Ste 105
Charlotte, NC 28211-1365

Mailing address

4967 Cameron Valley Pkwy
Charlotte, NC 28210-3350
Phone (518) 573-3508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220623000227 NC Practitioner - Physical Therapist in Private Practice 4082093935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

15940 Brixham Hill Ave
Suite 201
Charlotte, NC 28277-4950
Phone (704) 667-8530

3030 Randolph Rd
Suite 105a
Charlotte, NC 28211-1365
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21244NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince May 9, 2022 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince May 9, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince May 9, 2022 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince May 9, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797

3030 Randolph Rd
Ste 105
Charlotte, NC 28211
Phone (704) 512-4420

3611 Mt Holly Huntersville Rd
Ste 204
Charlotte, NC 28216
Phone (980) 256-3171

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

870 Gold Hill Rd
Ste 103
Fort Mill, SC 29708
Phone (803) 835-6000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1497491880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 CAMERON VALLEY PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103350",
            "telephone_number": "518-573-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 RANDOLPH RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111365",
            "telephone_number": "704-512-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT,  ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21244",
            "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 Apr 23, 2025; 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.