Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Noelle Wittenbach, DPT, ATC

Individual provider Physical Therapist · NPI 1174028237

Carissa Noelle Wittenbach, DPT, ATC is a Physical Therapist in Private Practice in Mint Hill, North Carolina. Qualified in 2022, 4 years ago. Practices with Greg Otts Center for Physical Therapy and Sports Performance LLC, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4700 Lebanon Rd Ste D2
Mint Hill, NC 28227-8265
Phone: (704) 366-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P21321 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence LAT-4668 (NC)

Record details

NPI number1174028237
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Greg Otts Center For Physical Therapy And Sports Performance Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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