Active NPI
Caroline Targonski Sutton, OTD, OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1538731963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14248
- Practice address
- 1606 Sharon Rd W Apt 38
Charlotte, NC 28210-5687 - Phone
- (704) 249-4455
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14248 | NC | Primary |
Addresses
Primary practice location
1606 Sharon Rd W Apt 38
Charlotte, NC 28210-5687
Mailing address
1606 Sharon Rd W Apt 38
Charlotte, NC 28210-5687
Phone (704) 249-4455
Other practice location 1
9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Phone (704) 847-3911
Other practice location 2
8520 Cheverny Dr
Waxhaw, NC 28173-9053
Phone (704) 249-4455
Other names 1
- Caroline Rose Targonski
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14248 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Therapeutics & Consulting, LLC | Occupational Therapist | Current | Accepting new patients |
| Crossway, Inc. | Occupational Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Waxhaw, NC
- NPI 1477125805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1538731963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 SHARON RD W APT 38",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282105687",
"telephone_number": "704-249-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 SHARON RD W APT 38",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282105687",
"telephone_number": "704-249-4455"
}
],
"practiceLocations": [
{
"address_1": "9111 Monroe Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282702460",
"country_code": "US",
"telephone_number": "704-847-3911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8520 Cheverny Dr",
"address_purpose": "LOCATION",
"city": "Waxhaw",
"state": "NC",
"postal_code": "281739053",
"country_code": "US",
"telephone_number": "704-249-4455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "CAROLINE",
"middle_name": "TARGONSKI",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "TARGONSKI",
"middle_name": "ROSE",
"credential": "OTD, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.