Active NPI
Erin L Campbell, OTRL
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1124064217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5237
- Practice address
- 5700 Executive Center Dr
Suite 115
Charlotte, NC 28212-8858 - Phone
- (704) 566-6040
- Fax
- (704) 525-9337
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5237 | NC | Primary |
Addresses
Primary practice location
5700 Executive Center Dr
Suite 115
Charlotte, NC 28212-8858
Mailing address
17121 Clementine CT
Charlotte, NC 28277-2496
Phone (704) 641-7193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11313122 | Other | NC | CAQH |
Other names 1
- Erin Lee Sharp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5237 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps & Bounds, Inc. | Occupational Therapist | Past | Accepting new patients |
| Carolina Physical Rehabilitation Services, Inc. | Past | Accepting new patients | |
| Steps Ahead, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1144417965
-
- Rehabilitation Practitioner
- Marshville, NC
- NPI 1699711507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124064217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17121 CLEMENTINE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772496",
"telephone_number": "704-641-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 EXECUTIVE CENTER DR",
"address_2": "SUITE 115",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282128858",
"telephone_number": "704-566-6040",
"fax_number": "704-525-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ERIN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11313122",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "SHARP",
"middle_name": "LEE",
"credential": "OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.