NPIMap

Organization Active NPI

Integration Station

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1124341276
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5804 Issued in NC
Legal business name
INTEGRATION STATION
Practice address
8511 Davis Lake Pkwy
Suite #C6-218
Charlotte, NC 28269-0536
Phone
(704) 248-1146
Fax
(877) 268-5344
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole E Cyphert, MS, OTR/LNPI 1205960937
Title
Director of Practice
Phone
(704) 248-1146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 5804 NC Primary

Addresses

Primary practice location

8511 Davis Lake Pkwy
Suite #C6-218
Charlotte, NC 28269-0536

Mailing address

8511 Davis Lake Pkwy
Suite #C6-218
Charlotte, NC 28269-0536
Phone (704) 248-1146

National Provider Directory

National Provider Directory

Locations

2110 Ben Craig Dr
Ste 300
Charlotte, NC 28262
Phone (704) 595-9363

8511 Davis Lake Pkwy
Ste C6218
Charlotte, NC 28269
Phone (704) 248-1146

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1124341276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY",
            "address_2": "SUITE #C6-218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "704-248-1146",
            "fax_number": "877-268-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY",
            "address_2": "SUITE #C6-218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "704-248-1146",
            "fax_number": "877-268-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATION STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "CYPHERT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF PRACTICE",
        "authorized_official_telephone_number": "704-248-1146",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.