Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Back to Independence Rehab LLC

Organization Occupational Therapist · NPI 1700658754

Back to Independence Rehab LLC is an Occupational Therapist in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Chastain Ave Ste 194
Charlotte, NC 28217-2136
Phone: (980) 277-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1700658754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darci Pernoud — Owner · (980) 277-7105
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address4801 Chastain Ave Ste 194, Charlotte, NC 28217-2136

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