Active NPI
Benita Turner Byrd, OT
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1306015300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6470
- Practice address
- 3800 Shamrock Dr
Charlotte, NC 28215-3220 - Phone
- (704) 532-7000
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 6470 | NC | Primary |
Addresses
Primary practice location
3800 Shamrock Dr
Charlotte, NC 28215-3220
Mailing address
7417 Boulaide St SW
Concord, NC 28025-6219
Phone (704) 488-9335
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 |
|---|---|---|---|
| 6470 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1306015300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7417 BOULAIDE ST SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280256219",
"telephone_number": "704-488-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SHAMROCK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153220",
"telephone_number": "704-532-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "BENITA",
"middle_name": "TURNER",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6470",
"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 Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.