Organization Active NPI

Sprout Developmental Services

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1164739264
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4562 Issued in NC
Legal business name
SPROUT DEVELOPMENTAL SERVICES
Practice address
10200 Oak Pond Cir
Charlotte, NC 28277-9538
Phone
(704) 516-3027
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Erin Smith Hockett, OTR/L, MHS
Title
President, Occupational Therapist
Phone
(704) 841-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 4562 NC Primary

Addresses

Primary practice location

10200 Oak Pond Cir
Charlotte, NC 28277-9538

Mailing address

PO Box 470891
Charlotte, NC 28247-0891
Phone (704) 516-3027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1164739264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470891",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470891",
            "telephone_number": "704-516-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 OAK POND CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779538",
            "telephone_number": "704-516-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "HOCKETT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-841-7274",
        "authorized_official_credential": "OTR/L, MHS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4562",
            "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 Sep 10, 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.