Individual provider Active NPI

Nicholas James Brand, OTR

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1376807800
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7708 Issued in NC
Practice address
5114 Providence Rd
Charlotte, NC 28226-5852
Phone
(704) 364-2485
Fax
(704) 364-2485
NPI assigned
Jun 29, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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 7708 NC Primary

Addresses

Primary practice location

5114 Providence Rd
Charlotte, NC 28226-5852

Mailing address

3212 Eastover Ridge Dr
Apt 733
Charlotte, NC 28211-1466
Phone (704) 296-7465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003321 NC Practitioner - Occupational Therapist in Private Practice 7012452931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1807 Windsor Run LN
Matthews, NC 28105-0124
Phone (980) 375-6558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7708NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince May 14, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince May 14, 2024 Accepting new patients

Locations

5114 Providence Rd
Charlotte, NC 28226
Phone (704) 364-2485

1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1376807800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 EASTOVER RIDGE DR",
            "address_2": "APT 733",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111466",
            "telephone_number": "704-296-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265852",
            "telephone_number": "704-364-2485",
            "fax_number": "704-364-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7708",
            "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 Jun 29, 2012; 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.