Broad River Rehabilitation
NPI 1902317589 · Occupational Therapist · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broad River Rehabilitation is a Occupational Therapist organization in Charlotte, NC (NPI 1902317589).
Provider details
- NPI number
- 1902317589
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Manning Mcgraw, Ceo(828) 774-5222
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broad River Rehab
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Frequently asked questions
- What is Broad River Rehabilitation's NPI number?
- Broad River Rehabilitation's National Provider Identifier (NPI) is 1902317589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad River Rehabilitation?
- Broad River Rehabilitation is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Broad River Rehabilitation located?
- Broad River Rehabilitation's practice location on file with NPPES is 9120 Willow Ridge Rd, Charlotte, NC 28210-8313.
- What is Broad River Rehabilitation's phone number?
- The practice phone number listed in the NPPES registry for Broad River Rehabilitation is (704) 275-5336.
- Does Broad River Rehabilitation accept Medicare?
- Broad River Rehabilitation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broad River Rehabilitation?
- The authorized official listed on Broad River Rehabilitation's NPPES record is Manning Mcgraw, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad River Rehabilitation's NPI active?
- Yes — Broad River Rehabilitation's NPI (1902317589) is active in the NPPES registry as of the last update on 2022-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.