BROAD RIVER REHAB
NPI 1902317589
Occupational Therapist in Charlotte, NC

Active since October 23, 2017
9120 WILLOW RIDGE RD, CHARLOTTE, NC 28210(704) 275-5336 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2022, Oct 23, 2017 (2 updates tracked since 2017).

About Broad River Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROAD RIVER REHAB (NPI 1902317589) is a healthcare organization registered as an occupational therapist in Charlotte, North Carolina and active in the NPI registry since October 2017. The organization lists Manning Mcgraw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902317589
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameBROAD RIVER REHABILITATION
Location Address9120 WILLOW RIDGE RDCharlotte, NC 28210-8313
Mailing Address1 Pond StArden, NC 28704-8500 · (828) 774-5222 · Fax (828) 774-5254
Organization SubpartNo
Authorized OfficialManning McgrawCeo · (828) 774-5222
Enumeration DateOctober 23, 2017
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1902317589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
9120 WILLOW RIDGE RD, Charlotte, NC 28210

Other Names 1

Doing Business AsBroad River Rehab

Other Identifiers 1

Medicaid1902317589NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broad River Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

132

Medicare enrollment records show 132 clinicians reassign Medicare billing to Broad River Rehab, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Occupational Therapist in Private Practice54
Physical Therapist in Private Practice43
Qualified Speech Language Pathologist35

Nearest to this location (20)

See all 132
Physical Therapist in Private Practice
NPI 1285159616
6000 PATRICK PL
Charlotte, NC 28210
(630) 715-9766
✔ Accepts Medicare3.5 mi
Qualified Speech Language Pathologist
NPI 1720171903
4421 STUART ANDREW BLVD
Charlotte, NC 28217
(980) 343-6960
✔ Accepts Medicare6.5 mi
Occupational Therapist in Private Practice
NPI 1821974270
211 W MATTHEWS ST STE 106
Matthews, NC 28105
(704) 846-0262
8.5 mi
Physical Therapist in Private Practice
NPI 1215287636
14330 OAKHILL PARK LN STE 115
Huntersville, NC 28078
(704) 316-1280
✔ Accepts Medicare22 mi
Qualified Speech Language Pathologist
NPI 1013417799
710 JULIAN RD
Salisbury, NC 28147
(704) 636-5812
✔ Accepts Medicare43 mi
Occupational Therapist in Private Practice
NPI 1215114293
1008 WOODBINE PL NE
Lenoir, NC 28645
(828) 260-7096
68 mi
Occupational Therapist in Private Practice
NPI 1922344605
4528 CARRIAGEBROOK CT
Clemmons, NC 27012
(336) 473-1759
69 mi
Physical Therapist in Private Practice
NPI 1770956237
3176 HICKORY RIDGE DR
Winston Salem, NC 27127
(919) 413-4611
✔ Accepts Medicare74 mi
Qualified Speech Language Pathologist
NPI 1730768771
1016 FLETCHER ST
Wilkesboro, NC 28697
(336) 667-9261
74 mi
Physical Therapist in Private Practice
NPI 1215599279
1918 W PARK DR
North Wilkesboro, NC 28659
(336) 902-7850
✔ Accepts Medicare75 mi
Occupational Therapist in Private Practice
NPI 1659904068
1903 S HAWTHORNE RD
Winston Salem, NC 27103
(336) 718-6700
75 mi
Occupational Therapist in Private Practice
NPI 1073403077
206 OLD BRICKYARD RD
North Wilkesboro, NC 28659
(336) 667-2211
✔ Accepts Medicare75 mi
Qualified Speech Language Pathologist
NPI 1043508880
204 OLD BRICKYARD RD
North Wilkesboro, NC 28659
(336) 838-2121
✔ Accepts Medicare75 mi
Occupational Therapist in Private Practice
NPI 1427948413
204 OLD BRICKYARD RD
North Wilkesboro, NC 28659
(336) 667-2020
✔ Accepts Medicare75 mi
Physical Therapist in Private Practice
NPI 1801121660
204 OLD BRICKYARD RD
North Wilkesboro, NC 28659
(828) 230-5517
✔ Accepts Medicare75 mi
Qualified Speech Language Pathologist
NPI 1043618598
185 CHARLOIS BLVD
Winston Salem, NC 27103
(336) 725-0222
✔ Accepts Medicare75 mi
Physical Therapist in Private Practice
NPI 1659582906
101 HOSPITAL DR
Columbus, NC 28722
(828) 894-8419
✔ Accepts Medicare77 mi
Occupational Therapist in Private Practice
NPI 1407460355
601 S MARTIN LUTHER KING JR DR FL 432
Winston Salem, NC 27110
(336) 750-3177
✔ Accepts Medicare78 mi
Qualified Speech Language Pathologist
NPI 1720433436
392 NORTHBRIDGE DR
High Point, NC 27265
(336) 254-1171
✔ Accepts Medicare78 mi
Physical Therapist in Private Practice
NPI 1902939796
1240 ARBOR RD
Winston Salem, NC 27104
(336) 724-7921
✔ Accepts Medicare78 mi
See all 132 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Broad River Rehabilitation's NPI number?

The NPI number for Broad River Rehabilitation is 1902317589. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider is doing business as Broad River Rehab.

Where is Broad River Rehabilitation located?

Broad River Rehabilitation is located at 9120 Willow Ridge Rd, Charlotte, NC 28210. The listed phone number is (704) 275-5336.

What is Broad River Rehabilitation's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Broad River Rehabilitation enrolled in Medicare?

Yes. Broad River Rehabilitation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broad River Rehabilitation?

According to the CMS Revalidation Reassignment List (October 2026 release), 132 clinicians in 3 Medicare specialties reassign their Medicare billing to Broad River Rehabilitation. A 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 the clinician's services. The largest specialties are Occupational Therapist in Private Practice (54), Physical Therapist in Private Practice (43) and Qualified Speech Language Pathologist (35). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Broad River Rehabilitation accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Broad River Rehabilitation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broad River Rehabilitation was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.