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

Mary Ragan Wiseman

Individual provider Occupational Therapist · NPI 1376324079

Mary Ragan Wiseman is an Occupational Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with The Weston Group Inc, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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Practice location Address checks out

620 Tom Hunter Rd
Charlotte, NC 28213-5511
Phone: (704) 589-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16342 (NC)

Record details

NPI number1376324079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Weston Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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