CARISSA NOELLE WITTENBACH DPT, ATC
NPI 1174028237
Physical Therapist in Mint Hill, NC
About Carissa Noelle Wittenbach Dpt, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA NOELLE WITTENBACH DPT, ATC (NPI 1174028237) is an individual physical therapist in Mint Hill, North Carolina, licensed in North Carolina (P21321) and active in the NPI registry since March 2018. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carissa Noelle Wittenbach Dpt, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carissa Wittenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28211
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Greg Otts Center For Physical Therapy And Sports Performance LLC
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINT HILL, NC 28227
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carissa Wittenbach's NPI number?
The NPI number for Carissa Wittenbach is 1174028237. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is Carissa Wittenbach located?
Carissa Wittenbach practices at 4700 Lebanon Rd Ste D2, Mint Hill, NC 28227. The listed phone number is (704) 366-7723.
What is Carissa Wittenbach's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Carissa Wittenbach enrolled in Medicare?
Yes. Carissa Wittenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carissa Wittenbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Wittenbach reassigns Medicare benefits to Greg Ott's Center For Physical Therapy And Sports Performance, LLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Wittenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carissa Wittenbach was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carissa Noelle Wittenbach, DPT, ATC · NPI 1174028237
Physical Therapist provider in Mint Hill, North Carolina. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1174028237 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** P21321 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 LEBANON RD STE D2, Mint Hill, NC 28227-8265
- **Phone:** (704) 366-7723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Greg Ott's Center For Physical Therapy And Sports Performance, LLC (NPI 1073835765, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174028237) · Data from the CMS NPPES public registry.