Individual provider Active NPI

Theresa Anne Moritz

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1861673311
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2771 Issued in NC
Practice address
1140 Turnbridge Rd
Charlotte, NC 28226-5862
Phone
(919) 260-8438
Fax
(888) 401-0837
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2771 NC Primary

Addresses

Primary practice location

1140 Turnbridge Rd
Charlotte, NC 28226-5862

Mailing address

1140 Turnbridge Rd
Charlotte, NC 28226-5862
Phone (919) 260-8438

Other practice location 1

10516 Park Rd
Charlotte, NC 28210-8405
Phone (704) 541-9080 ext. 211

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
2771NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Therapy LLC Speech-Language Pathologist PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1861673311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TURNBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265862",
            "telephone_number": "919-260-8438",
            "fax_number": "888-401-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TURNBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265862",
            "telephone_number": "919-260-8438",
            "fax_number": "888-401-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10516 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108405",
            "country_code": "US",
            "telephone_number": "704-541-9080 x211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2771",
            "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 Sep 3, 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.