Threshold Therapeutic, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

THRESHOLD THERAPEUTIC, LLC

Practice address

6201 Fairview Rd Ste 200
Charlotte, NC 28210-3297

Phone

(980) 288-5331

Fax

(980) 236-0456

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Mattie Ablitz, OTR/LNPI 1417232661

Title

Owner

Phone

(980) 288-5331

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25089/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mattie Ablitz, MOTR/L

  • Occupational Therapist
  • Matthews, NC
  • NPI 1417232661
  Medicare reassignment Authorized official
• Myra Mason

  • Physical Therapist
  • Concord, NC
  • NPI 1417326745
  Medicare reassignment NPD
• Lorna Elizabeth Smith, MOTR/L

  • Occupational Therapist
  • La Jolla, CA
  • NPI 1053775916

  NC

  Medicare reassignment NPD
• Kimberly Michelle Schifano, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Fort Mill, SC
  • NPI 1902209836
  NPD
• Brian W Ablitz, PSY.D., ABPP

  • Clinical Neuropsychologist
  • Charlotte, NC
  • NPI 1659506269
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1689299166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 HUNTING CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056598",
            "telephone_number": "980-288-5331",
            "fax_number": "980-236-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103297",
            "telephone_number": "980-288-5331",
            "fax_number": "980-236-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Matthews Mint Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282276562",
            "country_code": "US",
            "telephone_number": "980-288-5331",
            "fax_number": "980-236-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4416 E Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282057404",
            "country_code": "US",
            "telephone_number": "980-236-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9216 Hunting Ct",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056598",
            "country_code": "US",
            "telephone_number": "540-222-0340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Market St Ste 201D",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086531",
            "country_code": "US",
            "telephone_number": "980-288-5331",
            "fax_number": "980-236-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRESHOLD THERAPEUTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ABLITZ",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-288-5331",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.