Individual provider Active NPI

Haley Nichole Dekin, OTR/L

  • Occupational Therapist
  • Concord, NC
National Provider Identifier
1437994068
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16410 Issued in NC
Practice address
2425 Satchel LN
Concord, NC 28027-2860
Phone
(855) 360-9433
Fax
(704) 793-6308
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 16410 NC Primary

Addresses

Primary practice location

2425 Satchel LN
Concord, NC 28027-2860

Mailing address

8040 Brookbank Dr
Charlotte, NC 28269-4956
Phone (315) 345-7231

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

LicenseStateTypeSpecialty
16410NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetouchtherapy, PLLC Occupational Therapist PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1437994068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 BROOKBANK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694956",
            "telephone_number": "315-345-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SATCHEL LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272860",
            "telephone_number": "855-360-9433",
            "fax_number": "704-793-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKIN",
        "first_name": "HALEY",
        "middle_name": "NICHOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.