Active NPI
Sherri Jo Antley
- Pediatric Occupational Therapist
- Huntersville, NC
National Provider Identifier
1598822041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5341
- Practice address
- 8928 Pristine CT
Huntersville, NC 28078-5664 - Phone
- (704) 236-3895
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5341 | NC | Primary |
Addresses
Primary practice location
8928 Pristine CT
Huntersville, NC 28078-5664
Mailing address
8928 Pristine CT
Huntersville, NC 28078-5664
Phone (704) 236-3895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211749 | Medicaid | NC |
Other names 1
- Sherri Antley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5341 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WR Therapy, Inc | Occupational Therapist | Current | Accepting new patients |
| Christi Holt Ma CCC SLP | Past | Accepting new patients | |
| Ann Tubre, Lotr LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1315 Cypress St
West Monroe, LA 71291
210 Cypress St
Ste A
West Monroe, LA 71291
Phone (318) 381-5893
Organizations & group practices 3
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.
-
dba Grace and Glory Therapy
- Speech-Language Pathologist
- West Monroe, LA
- NPI 1487823258
Occupational Therapist
-
dba Believe and Achieve Therapy
- Occupational Therapist
- West Monroe, LA
- NPI 1568579035
-
dba Christi Holt Ma CCC-SL LLC
- Speech-Language Pathologist
- Monroe, LA
- NPI 1801168299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598822041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 PRISTINE CT",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785664",
"telephone_number": "704-236-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 PRISTINE CT",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785664",
"telephone_number": "704-236-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTLEY",
"first_name": "SHERRI",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "5341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211749",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRI",
"last_name": "ANTLEY",
"credential": "OTR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.