Active NPI
Jessica Szklut
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1194181958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10105
- Practice address
- 9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429 - Phone
- (704) 847-3911
- NPI assigned
- Jan 10, 2016
- Last updated
- Jan 10, 2016
- 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 | 10105 | NC | Primary |
Addresses
Primary practice location
9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429
Mailing address
9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429
Phone (704) 847-3911
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10105 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossway, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1194181958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9129 MONROE RD",
"address_2": "SUITE 100-105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702429",
"telephone_number": "704-847-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9129 MONROE RD",
"address_2": "SUITE 100-105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702429",
"telephone_number": "704-847-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZKLUT",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-10",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10105",
"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 Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.