Alexis Rose Vitale, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16835 Issued in NC

Practice address

4009 Craig Ave
Charlotte, NC 28211-2505

Phone

(704) 365-2620

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Statesville, NC
  • NPI 1619575651

  Occupational Therapist

  NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1124865290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E BROOKLYN VILLAGE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023396",
            "telephone_number": "315-406-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CRAIG AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112505",
            "telephone_number": "704-365-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "ALEXIS",
        "middle_name": "ROSE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Angels Homecare, Inc.
• Eva Teresa Viso-Olsson
• Philip A Visser, MD
• Vital Care Solutions
• Vital Stability Home Care Services LLC
• Vitalife Services Inc
• Vitality Chiropractic & Acupuncture, PLLC
• Vitality Consultants LLC
• Vitality Lab Services LLC
• Vitality Plus PA

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.