Sharon Ann D'Ingillo, OTR

Individual provider Active NPI Occupational Therapist · Pineville, NC

NPI 1013040864 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013040864
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2031 (NC)
Practice address
13180 Dorman Rd
Pineville, NC 28134-9327
Phone
(704) 542-0312
Fax
(704) 542-0313
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Winding Rock Rd
Simpsonville, SC 29680-2486

PO Box
Suite 470724
Broadview Heights, OH 44147

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260528004191 FL Practitioner - Occupational Therapist in Private Practice 1850777491 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2031NCMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2031 NC Yes

Addresses

Primary practice location

13180 Dorman Rd
Pineville, NC 28134-9327

Mailing address

3000 Leyland CT
Matthews, NC 28104-7407
Phone (704) 847-6596

Other providers in Pineville, NC

All providers in Pineville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.