Therapeutic Embrace Occupational Therapy Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5725 Issued in NC

Legal business name

THERAPEUTIC EMBRACE OCCUPATIONAL THERAPY SERVICES

Practice address

10121 Glenburn LN
Charlotte, NC 28278-6001

Phone

(704) 277-3660

Fax

(704) 504-9510

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nikita Charles Kennedy, OTR/L, CDPNPI 1457542300

Title

Occupational Therapist/Owner

Phone

(704) 277-3660

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikita Charles Kennedy, OTR/L

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1457542300
  NPD (past) Authorized official

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1669869715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 GLENBURN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786001",
            "telephone_number": "704-277-3660",
            "fax_number": "704-504-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 GLENBURN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786001",
            "telephone_number": "704-277-3660",
            "fax_number": "704-504-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC EMBRACE OCCUPATIONAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "704-277-3660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CDP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 15, 2015; 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.