Individual provider Active NPI

Megan Elizabeth Huber, OTR/L

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1861169617
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15941 Issued in NC
Practice address
15825 Ballantyne Medical PL Ste 120
Charlotte, NC 28277-4790
Phone
(704) 323-3409
Fax
(704) 323-3982
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT011701 OH
Occupational Therapist 225X00000X 15941 NC Primary

Addresses

Primary practice location

15825 Ballantyne Medical PL Ste 120
Charlotte, NC 28277-4790

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210928000709 OH Practitioner - Occupational Therapist in Private Practice 3375940737 Reassigns benefits to 1 organization
I20211015000836 KY Practitioner - Occupational Therapist in Private Practice 3375940737 Reassigns benefits to 1 organization
I20230911001249 NC Practitioner - Occupational Therapist in Private Practice 3375940737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Source, Inc.Group PAC ID 5193634681, 5 clinicians

Practice addresses (Care Compare)

600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 574-5400

6480 Harrison Ave
Suite 301
Cincinnati, OH 45247-7961
Phone (513) 574-5400

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15941NCMDOccupational Therapist
OT011701OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Occupational Therapist Current Accepting new patients
Orthocarolina Occupational Therapist CurrentSince Aug 28, 2023 Accepting new patients
Orthocarolina Occupational Therapist CurrentSince Aug 28, 2023 Accepting new patients
The Therapy Source, Inc. Occupational Therapist Past Accepting new patients

Locations

15825 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 323-3400

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1861169617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-3611",
            "fax_number": "704-945-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 BALLANTYNE MEDICAL PL STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774790",
            "telephone_number": "704-323-3409",
            "fax_number": "704-323-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011701",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15941",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.