Active NPI
Holly Michelle Gandolfo
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1962352690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18272
- Practice address
- 15825 Ballantyne Medical PL
Charlotte, NC 28277-4652 - Phone
- (980) 223-4789
- NPI assigned
- Feb 2, 2026
- Last updated
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 18272 | NC | Primary |
Addresses
Primary practice location
15825 Ballantyne Medical PL
Charlotte, NC 28277-4652
Mailing address
550 Deerfield Rd
Mount Gilead, NC 27306-8819
Phone (540) 422-5721
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 |
|---|---|---|---|
| 18272 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1962352690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 DEERFIELD RD",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "273068819",
"telephone_number": "540-422-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15825 BALLANTYNE MEDICAL PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774652",
"telephone_number": "980-223-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDOLFO",
"first_name": "HOLLY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "18272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Keith Ganci, PHD
- Janice Gandhi, D.M.D
- Rajni B Gandhi, PHARMACIST
- Sanaya Gandhi, PA
- Shiv Dushyant Gandhi, MD
- Jacques Ganem, MD
- Ganglani Cedar Walk PLLC (Cedar Walk Family Dental)
- Ganglani Charlotte PLLC (Hull Dentistry)
- Ganglani DMD PLLC (FRESHDental Cotswold)
- Ganglani DMD PLLC (Fresh Dental Park Road)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.