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: August 02, 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

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.

Physical Therapist
9120 WILLOW RIDGE RD
CHARLOTTE, NC 28210
Assisted Living Facility
9120 WILLOW RIDGE RD
CHARLOTTE, NC 28210

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.

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.