Active NPI
Jeffrey Aaron Santos
- Occupational Therapy Assistant
- Charlotte, NC
National Provider Identifier
1407720972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11163
- Practice address
- 2040 Milton Rd
Charlotte, NC 28215-3317 - Phone
- (704) 405-0730
- NPI assigned
- Sep 30, 2025
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 11163 | NC | Primary |
Addresses
Primary practice location
2040 Milton Rd
Charlotte, NC 28215-3317
Mailing address
12418 Blossoming CT
Charlotte, NC 28273-6952
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11163 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1407720972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12418 BLOSSOMING CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MILTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153317",
"telephone_number": "704-405-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "JEFFREY",
"middle_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "11163",
"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 Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.