Individual provider Active NPI

Chandler Caulder

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1891300075
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13485 Issued in NC
Practice address
2250 Shipyard Blvd Ste 14
Wilmington, NC 28403-8070
Phone
(910) 518-9951
Fax
(910) 597-9520
NPI assigned
Sep 14, 2020
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 5941 SC
Occupational Therapist 225X00000X 13485 NC Primary

Addresses

Primary practice location

2250 Shipyard Blvd Ste 14
Wilmington, NC 28403-8070

Mailing address

2240 Blue Bonnet Cir
Castle Hayne, NC 28429-0200
Phone (843) 670-4776

Other practice location 1

5710 Oleander Dr Ste 211
Wilmington, NC 28403-4722
Phone (910) 398-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130000878 NC Practitioner - Occupational Therapist in Private Practice 2264910371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zumbro and Connell IncGroup PAC ID 5698852499, 39 clinicians

Practice addresses (Care Compare)

2250 Shipyard Blvd
Suite 14
Wilmington, NC 28403-8070
Phone (910) 518-9951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5941SCMDOccupational Therapist
13485NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro and Connell, Inc Occupational Therapist CurrentSince Dec 13, 2025 Accepting new patients

Locations

2250 Shipyard Blvd
Ste 14
Wilmington, NC 28403
Phone (910) 518-9951

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1891300075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BLUE BONNET CIR",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284290200",
            "telephone_number": "843-670-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHIPYARD BLVD STE 14",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038070",
            "telephone_number": "910-518-9951",
            "fax_number": "910-597-9520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Oleander Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "910-398-6301",
            "fax_number": "910-398-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAULDER",
        "first_name": "CHANDLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5941",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.