Individual provider Active NPI

Lacresha Wilkerson, LOTR

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1164746749
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15301 Issued in NC
Practice address
1140 Turnbridge Rd
Charlotte, NC 28226-5862
Phone
(919) 260-8438
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT.200011 LA
Occupational Therapist 225X00000X 15301 NC Primary

Addresses

Primary practice location

1140 Turnbridge Rd
Charlotte, NC 28226-5862

Mailing address

1140 Turnbridge Rd
Charlotte, NC 28226-5862
Phone (919) 260-8438

Other practice location 1

107 Summer Ln
West Monroe, LA 71291-3501
Phone (318) 396-1969

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

LicenseStateTypeSpecialty
15301NCMDPhysical Therapist
OTT.200011LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Infant & Toddler LLC Occupational Therapist Past Accepting new patients
Shine Therapy LLC Occupational Therapist PastSince Dec 24, 2023 Accepting new patients
Melanie Massey Physical Therapy Inc Occupational Therapist PastSince Jan 23, 2003 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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1164746749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TURNBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265862",
            "telephone_number": "919-260-8438",
            "fax_number": "888-401-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TURNBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265862",
            "telephone_number": "919-260-8438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Summer Ln",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712913501",
            "country_code": "US",
            "telephone_number": "318-396-1969",
            "fax_number": "318-396-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "LACRESHA",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15301",
            "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 Dec 22, 2023; 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.