Active NPI
Crystal Lynch Sottile, MS OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1700010006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6415
- Practice address
- 3800 Shamrock Dr
Charlotte, NC 28215-3220 - Phone
- (704) 532-5462
- NPI assigned
- May 14, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6415 | NC | Primary |
Addresses
Primary practice location
3800 Shamrock Dr
Charlotte, NC 28215-3220
Mailing address
101 N Sardis View LN
Charlotte, NC 28270-0947
Phone (803) 315-9748
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6415 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1700010006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N SARDIS VIEW LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282700947",
"telephone_number": "803-315-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SHAMROCK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153220",
"telephone_number": "704-532-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTTILE",
"first_name": "CRYSTAL",
"middle_name": "LYNCH",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.