Individual provider Active NPI

India Lamboy, MOT, OTR/L

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1366172413
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15376 Issued in NC
Practice address
704 Louise Ave
Charlotte, NC 28204-2128
Phone
(704) 887-5116
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7201 TN
Occupational Therapist 225X00000X 15376 NC Primary

Addresses

Primary practice location

704 Louise Ave
Charlotte, NC 28204-2128

Mailing address

35 Fenwick Rd
Riverside, RI 02915-1419

Other practice location 1

420 Copperfield Blvd NE
Concord, NC 28025-2404
Phone (704) 706-2200

Other practice location 2

4913 Broken Saddle Ln
Charlotte, NC 28226-5816
Phone (704) 577-9937

Other names 1

  • India Clarke Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519001760 NC Practitioner - Occupational Therapist in Private Practice 7012388903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7201TNMDOccupational Therapist
15376NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Association for the Blind CurrentSince Jan 12, 2023 Accepting new patients
Elite Therapy Services LLC Occupational Therapist Past Accepting new patients

Locations

704 Louise Ave
Charlotte, NC 28204
Phone (704) 372-3870

Organizations & group practices 2

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1366172413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FENWICK RD",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LOUISE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042128",
            "telephone_number": "704-887-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Copperfield Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252404",
            "country_code": "US",
            "telephone_number": "704-706-2200",
            "fax_number": "980-334-2110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4913 Broken Saddle Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282265816",
            "country_code": "US",
            "telephone_number": "704-577-9937",
            "fax_number": "980-236-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBOY",
        "first_name": "INDIA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIA",
            "last_name": "CLARKE",
            "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 Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.