Active NPI
Carla Shepherd, OTR/L
- Occupational Therapist
- Albemarle, NC
National Provider Identifier
1710470406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11756
- Practice address
- 1325 E Main St
Albemarle, NC 28001-5132 - Phone
- (704) 983-5437
- Fax
- (704) 983-0144
- NPI assigned
- Jun 7, 2018
- 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 | 11756 | NC | Primary |
Addresses
Primary practice location
1325 E Main St
Albemarle, NC 28001-5132
Mailing address
2715 Plantation Way
Albemarle, NC 28001-6604
Phone (704) 796-4594
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Spectrum Inc | Occupational Therapist | Past | Accepting new patients |
| Outer Planetary Touch | Past | Accepting new patients |
Organizations & group practices 2
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 Brighter Day Theraplay
- Pediatric Occupational Therapist
- Albemarle, NC
- NPI 1063853158
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1871475244
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1710470406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 PLANTATION WAY",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280016604",
"telephone_number": "704-796-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E MAIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280015132",
"telephone_number": "704-983-5437",
"fax_number": "704-983-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "CARLA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.