Individual provider Active NPI

Sherri Jo Antley

  • Pediatric Occupational Therapist
  • Huntersville, NC
National Provider Identifier
1598822041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5341 Issued in NC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7211749MedicaidNC

Other names 1

  • Sherri Antley Other name

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

LicenseStateTypeSpecialty
5341NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
WR Therapy, Inc Occupational Therapist CurrentSince Dec 5, 2022 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.

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.

Verify at the official NPI Registry.