Individual provider Active NPI

Tiffany N Topp, OTR/L, CLT-ALM

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1346493483
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6769 Issued in NC
Practice address
10516 Bere Island Dr
Charlotte, NC 28278-6645
Phone
(304) 216-1487
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6769 NC Primary

Addresses

Primary practice location

10516 Bere Island Dr
Charlotte, NC 28278-6645

Mailing address

10516 Bere Island Dr
Charlotte, NC 28278-6645
Phone (304) 216-1487

Other names 1

  • Tiffany N Moulton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000518 NC Practitioner - Occupational Therapist in Private Practice 5799951943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1202 Beatties Ford Rd
Charlotte, NC 28216-5036
Phone (304) 216-1487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6769NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Dimension Upper Extremity Stroke Rehab and Fitness PLLC CurrentSince Dec 28, 2020 Accepting new patients
Resurgence Neuro Rehab, PLLC CurrentSince Jun 13, 2024 Accepting new patients
Steele Creek Physical Therapy & Balance Center Inc PastSince Nov 16, 2006 Accepting new patients

Locations

1202 Beatties Ford Rd
Charlotte, NC 28216
Phone (304) 216-1487

320 Copperfield Blvd NE
Ste B
Concord, NC 28025
Phone (704) 264-0528

Organizations & group practices 4

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1346493483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786645",
            "telephone_number": "304-216-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 BERE ISLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786645",
            "telephone_number": "304-216-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPP",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "OTR/L, CLT-ALM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MOULTON",
            "middle_name": "N",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.