Individual provider Active NPI

Abigail C Nguyen, MOT, OTR/L

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1679697080
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6826 Issued in NC
Practice address
11012 Knight Castle Dr
Charlotte, NC 28277-0212
Phone
(704) 251-9112
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6826 NC
Occupational Therapist 225X00000X 6826 NC Primary
Occupational Therapist 225X00000X 5900 SC
Pediatric Occupational Therapist 225XP0200X OT12627 FL
Occupational Therapist 225X00000X OT12627 FL

Addresses

Primary practice location

11012 Knight Castle Dr
Charlotte, NC 28277-0212

Mailing address

11012 Knight Castle Dr
Charlotte, NC 28277-0212
Phone (919) 244-8396

Other practice location 1

105 Waxhaw Professional Park Dr Ste A
Waxhaw, NC 28173-5018
Phone (704) 627-4027

Other identifiers 1

IdentifierTypeStateIssuer
8920753 00MedicaidFL

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
OT12627FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Therapy Occupational Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

105 Waxhaw Professional Park Dr
Ste A
Waxhaw, NC 28173
Phone (704) 243-1010

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1679697080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 KNIGHT CASTLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770212",
            "telephone_number": "919-244-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 KNIGHT CASTLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770212",
            "telephone_number": "704-251-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Waxhaw Professional Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281735018",
            "country_code": "US",
            "telephone_number": "704-627-4027",
            "fax_number": "704-684-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ABIGAIL",
        "middle_name": "C",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6826",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6826",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT12627",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920753 00",
            "state": "FL"
        }
    ],
    "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 Nov 21, 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.