Wonderland Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WONDERLAND PEDIATRIC THERAPY

Practice address

10720 Sikes PL Ste 120
Charlotte, NC 28277-8142

Phone

(980) 469-8109

Fax

(704) 973-9219

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By 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

Jennifer Marie Fitzgerald, BA, COTA/LNPI 1174394324

Title

Owner, OT Assistant

Phone

(732) 691-2212

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.

• Jennifer Marie Fitzgerald, BA, COTA/L

  • Occupational Therapy Assistant
  • Indian Trail, NC
  • NPI 1174394324
  NPD Authorized official

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1942098132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MARRON DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280794510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 SIKES PL STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778142",
            "telephone_number": "980-469-8109",
            "fax_number": "704-973-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAND PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, OT ASSISTANT",
        "authorized_official_telephone_number": "732-691-2212",
        "authorized_official_credential": "BA, COTA/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Downs Womack, MD
• Jacquelyn Sharp Womble, MS, RDN, LD, EP-C
• Women of Power Network
• Womens Transitional Healthcare PLLC (Women's Transitional HealthCare)
• Wonder Counseling PLLC
• Jared Donald Wonders
• Pearl Wong Abood, LMFT
• Constance Rebecca Wong, MA, NCC, LPCA
• Esther Aroom Wong, NP
• Lyndon Charles Wong, OD

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, 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 Apr 28, 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.