Active NPI
Monica Lee-Albin Wackerhagen, OTR
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1922442524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2592
- Practice address
- 10620 Stone Bunker Dr
Charlotte, NC 28227-7036 - Phone
- (704) 771-0051
- NPI assigned
- Apr 25, 2013
- Last updated
- Apr 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2592 | NC | Primary |
Addresses
Primary practice location
10620 Stone Bunker Dr
Charlotte, NC 28227-7036
Mailing address
10620 Stone Bunker Dr
Charlotte, NC 28227-7036
Phone (704) 771-0051
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2592 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Rehab | Occupational Therapist | Past | 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, 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": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1922442524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 STONE BUNKER DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282277036",
"telephone_number": "704-771-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 STONE BUNKER DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282277036",
"telephone_number": "704-771-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKERHAGEN",
"first_name": "MONICA",
"middle_name": "LEE-ALBIN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "2592",
"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 Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.