Nykia Petty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13285 Issued in NC

Practice address

8848 Red Oak Blvd Ste Aa
Charlotte, NC 28217-5595

Phone

(980) 422-5887

NPI assigned

Jul 9, 2020

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kidology, Inc

  • Physical Therapist
  • Lincolnton, NC
  • NPI 1730591991

  Occupational Therapist

  Medicare reassignment NPD
• Speech Tactics, PC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1861736308
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1497373120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 RED OAK BLVD STE AA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 RED OAK BLVD STE AA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175595",
            "telephone_number": "980-422-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "NYKIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary David Pettit, PA-C
• Brooke Freeman Pettitt, PHARMD
• Keshia Pettus
• Cole Christian Petty, LCMHCA
• Grant Petty, PHARMD
• Bridget L Pettyjohn
• Dara M. Peyton
• Jonathan Richard Peyton
• PFC Corporation
• PFC Corporation

• 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 Jul 9, 2020; 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.