Active NPI
Valarie Odle, COTA
- Occupational Therapy Assistant
- Indian Trail, NC
National Provider Identifier
1689450793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5500
- Practice address
- 5627 Poplin Rd
Indian Trail, NC 28079-6726 - Phone
- (704) 296-0320
- NPI assigned
- Sep 5, 2023
- Last updated
- Aug 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 14298 | NC | |
| Occupational Therapy Assistant | 224Z00000X | 5500 | SC | Primary |
Addresses
Primary practice location
5627 Poplin Rd
Indian Trail, NC 28079-6726
Mailing address
1192 Shelly Woods Dr
Fort Mill, SC 29707-7789
Other practice location 1
1101 Old Providence Rd
Waxhaw, NC 28173-7924
Phone (704) 290-1590
Other names 1
- Valarie Jean Odle
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 |
|---|---|---|---|
| 5500 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1689450793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1192 SHELLY WOODS DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297077789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5627 POPLIN RD",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280796726",
"telephone_number": "704-296-0320"
}
],
"practiceLocations": [
{
"address_1": "1101 Old Providence Rd",
"address_purpose": "LOCATION",
"city": "Waxhaw",
"state": "NC",
"postal_code": "281737924",
"country_code": "US",
"telephone_number": "704-290-1590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODLE",
"first_name": "VALARIE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "14298",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "5500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VALARIE",
"last_name": "ODLE",
"middle_name": "JEAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indian Trail, NC
- New Chapter Life Solutions Inc.
- Northern Light Home Care LLC
- Novant Health Medical Group, LLC (Novant Health Sun Valley Family Physicians)
- Jessica Elaine O'Shields, LMFT
- Oasis Clinical Care Management & Consultation PLLC (Oasis Clinical Care Management)
- Gary Charles Of, PT
- Gina J Ohmann, PHYSICAL THERAPIST
- Old Monroe Pharmacy LLC
- Bailey Graddon Oleary, CCC-SLP
- Tessa Ridley Oles, MS, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.