Cassie Ellis

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17492 Issued in NC

Practice address

8420 University Exec Park Dr Ste 825
Charlotte, NC 28262-1346

Phone

(704) 752-1616

NPI assigned

Jan 8, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queen City Therapy, PLLC

  dba Little Wonders 123

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1154813681
  NPD

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1710797238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 UNIVERSITY EXEC PARK DR STE 825",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621346",
            "telephone_number": "704-752-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NC",
            "license": "17492",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "17492",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Douglas Elliott, MA, LAT, ATC
• Adam Ellis
• Amy Cameron Ellis, RD, LDN
• Angelic Grier Ellis, PT
• Audia L. Ellis, FNP
• Chad Ellis
• Charles Ellis, MD
• Clarence O'Neil Ellis, MD
• Danny Ralph Ellis, CP
• David E Ellis III

• 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 Mar 5, 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.