Individual provider Active NPI

Valarie Odle, COTA

  • Occupational Therapy Assistant
  • Indian Trail, NC
National Provider Identifier
1689450793
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5500 Issued in SC
Practice address
5627 Poplin Rd
Indian Trail, NC 28079-6726
Phone
(704) 296-0320
NPI assigned
Sep 5, 2023
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
5500SCMDProfessional 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

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.

Verify at the official NPI Registry.