Active NPI
Carolina Women's Restorative Center, LLC
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1588949291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- CAROLINA WOMEN'S RESTORATIVE CENTER, LLC
- Practice address
- 205 W. Worthington Ave
Charlotte, NC 28203 - Phone
- (980) 224-8366
- NPI assigned
- Oct 13, 2011
- Last updated
- Jul 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deanna D Allen
- Title
- Owner
- Phone
- (704) 910-1991
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NC | ||
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Cardiopulmonary Physical Therapist | 2251C2600X | NU | ||
| Human Factors Physical Therapist | 2251H1300X | NU | ||
| Neurology Physical Therapist | 2251N0400X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU | ||
| Physical Therapy Assistant | 225200000X | NU | ||
| Occupational Therapist | 225X00000X | NU | Primary | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NU |
Addresses
Primary practice location
205 W. Worthington Ave
Charlotte, NC 28203
Mailing address
7509 Little Fox LN
Charlotte, NC 28227
Phone (704) 910-1991
National Provider Directory
National Provider DirectoryLocations
205 W Worthington Ave
Charlotte, NC 28203
Phone (980) 224-8366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Waxhaw, NC
- NPI 1164708442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341705600000",
"number": "1588949291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7509 LITTLE FOX LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28227",
"telephone_number": "704-910-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W. WORTHINGTON AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "980-224-8366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA WOMEN'S RESTORATIVE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-13",
"last_updated": "2012-07-08",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-910-1991",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carolina Transport Alliance, Inc.
- Carolina Treatment & Family Services, Inc
- Carolina Upper Cervical Clinic, Inc.
- Carolina Urology Center, PA
- Carolina Vision Rehabilitation OD PLLC
- Carolina Youth Association
- Carolina's Cancer Care 2LLC
- Carolina's Creative Counseling
- Carolina's Creative Counseling, PA
- Carolina's Spine and Sports Treatment Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.