Cassidy Taylor Campbell, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13718 Issued in NC

Practice address

5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690

Phone

(704) 752-1616

Fax

(704) 759-0799

NPI assigned

Apr 5, 2021

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Queen City Therapy, PLLC

  dba Little Wonders 123

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1154813681

  Pediatrics

  NPD

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1316526502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776690",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776690",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CASSIDY",
        "middle_name": "TAYLOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "13718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Patricia Campbell
• Brooke Nicole Campbell, OTR/L
• Bryanna Campbell, PSYD
• Cameron Campbell, DDS
• Casandra Faye Campbell
• Charlotte Campbell, FNP
• Correlia D Campbell, LCSW, LCAS, LISW-CP
• Danielle Campbell, OT/L
• Elizabeth Brown Campbell, AGNP-C
• Erin L Campbell, OTRL

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.