Creative Connection, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CREATIVE CONNECTION, PLLC

Practice address

5314 Wedgewood Dr
Charlotte, NC 28210-2429

Phone

(704) 258-6642

NPI assigned

Sep 17, 2012

Last updated

Sep 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Oliver, OTR/L

Title

Sole Member

Phone

(704) 258-6642

Specialties & licenses 1

Addresses

Other names 1

• Creative Connection, LLC Former legal business name

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1457601585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 WEDGEWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102429",
            "telephone_number": "704-258-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 WEDGEWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102429",
            "telephone_number": "704-258-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONNECTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "704-258-6642",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Connection, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Create the Pause PLLC
• Create Your Calm PLLC
• Create Your Own Legacy Empowerment Group
• Creating Change, PLLC
• Creative Cascades Therapy LLC
• Creative Counseling PLLC
• Creative Counseling Strategies
• Creative Family Care, Inc.
• Creative Paths Occupational Therapy, PLLC
• Creative Solutions (Health Resource Group)

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.