Active NPI
Abigail C Nguyen, MOT, OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1679697080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8920753 00 | Medicaid | FL |
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 |
|---|---|---|---|
| OT12627 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Kids Therapy | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1528628823
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.