NPIMap

Organization Active NPI

Easter Seals Ucp NC Inc

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1700924677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3735 Issued in NC
Legal business name
EASTER SEALS UCP NC INC
Practice address
716 Marsh Rd
Charlotte, NC 28209-1851
Phone
(704) 522-9912
Fax
(704) 522-9914
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loreen Sorrentino
Title
Asst. Director
Phone
(704) 522-9912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 3735 NC Primary

Addresses

Primary practice location

716 Marsh Rd
Charlotte, NC 28209-1851

Mailing address

716 Marsh Rd
Charlotte, NC 28209-1851
Phone (704) 522-9912

Other identifiers 1

IdentifierTypeStateIssuer
7301241MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Ucp North Carolina Virginia Inc224 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700924677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MARSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091851",
            "telephone_number": "704-522-9912",
            "fax_number": "704-522-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MARSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091851",
            "telephone_number": "704-522-9912",
            "fax_number": "704-522-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS UCP NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORRENTINO",
        "authorized_official_first_name": "LOREEN",
        "authorized_official_title_or_position": "ASST. DIRECTOR",
        "authorized_official_telephone_number": "704-522-9912"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301241",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.