Active NPI
Amy B Ingebretson, OT
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1225274566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6738
- Practice address
- 2001 Vail Ave
Charlotte, NC 28207-1219 - Phone
- (704) 304-5837
- NPI assigned
- Dec 16, 2008
- 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 | 6738 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave
Charlotte, NC 28207-1219
Mailing address
704 Louise Ave
Charlotte, NC 28204-2128
Phone (704) 372-3870
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6738 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1225274566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 LOUISE AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042128",
"telephone_number": "704-372-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071219",
"telephone_number": "704-304-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGEBRETSON",
"first_name": "AMY",
"middle_name": "B",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Infinite Care Home Health Services, Inc
- Infinite Recovery Behavioral Health LLC
- Infinity Behavioral and Developmental Health Services
- Infinity Medical Supplies LLC
- Infinium Health Services LLC (Infinium Health Services)
- Latina Ingels
- Ingenious Health Care
- Stephen J Ingersoll II
- Catherine Durando Ingland, PA-C
- Jenifer Ingle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.