Cheyenne Bryant, COTA/L

Key facts

NPI

1497524110

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

14980 (NC)

Practice address

16409 Northcross Dr
Huntersville, NC 28078-5065

Phone

(980) 441-8200

NPI assigned

Dec 21, 2023

Sex

Female

Sole proprietor

No

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.

• Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist · Ronkonkoma, NY · NPI 1811097306
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2023.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1497524110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OGBURN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153252",
            "telephone_number": "276-806-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785065",
            "telephone_number": "980-441-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHEYENNE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

• Jennifer D Bruce, PT
• Josh Bruce, LMT
• Cristina Bruington, LMFT, LCAS, CCS
• Gina Marie Brun, M.S., CCC-SLP
• Bryan T Persinger DDS PLLC III
• Heather Bryant, PA-C
• Kristopher Samuel Bryant
• Tyra Bryant
• Shellie M Buchanan, D.C.
• Michael Scott Buchsbaum, MD

All providers in Huntersville, NC · Occupational Therapy Assistant in North Carolina