Mint Hill Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MINT HILL PEDIATRIC THERAPY

Practice address

6040 Gold Wagon LN
Mint Hill, NC 28227-9351

Phone

(980) 253-2373

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Petcu, OTNPI 1104255033

Title

Owner

Phone

(980) 253-2373

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Petcu

  • Occupational Therapist
  • Matthews, NC
  • NPI 1104255033
  NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1912691106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MATTHEWS TOWNSHIP PKWY",
            "address_2": "STE D 175",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "980-253-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 GOLD WAGON LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279351",
            "telephone_number": "980-253-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT HILL PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PETCU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-253-2373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Miles, PHARMACIST
• Abby Miller, LCMHCA
• Joseph Minaya
• Mint Hill Dentistry, LLP
• Mint Hill Health Holdings, LLC (Mint Hill Senior Living)
• Mint Hill Pharmacy LLC (Mint Hill Pharmacy)
• Mint Hill Pharmacy LLC
• Mint Hill Primary Care PLLC
• Mint Hill Smiles
• Mint Hill Volunteer Fire Department (Mint Hill Vol. Fire Dept.)

• Pediatric Occupational Therapist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.