NPIMap

Organization Active NPI

Crossway, Inc.

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1851335459
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CROSSWAY, INC.
Practice address
9129 Monroe Rd
Suite 100-015
Charlotte, NC 28270-2429
Phone
(704) 847-3911
Fax
(704) 847-2033
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Shelley Anne Dean, OTD,OTR/LNPI 1659317162
Title
Owner, Occupational Therapist
Phone
(704) 607-0014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

9129 Monroe Rd
Suite 100-015
Charlotte, NC 28270-2429

Mailing address

9129 Monroe Rd
Suite 100-105
Charlotte, NC 28270-2429
Phone (704) 847-3911

Other identifiers 5

IdentifierTypeStateIssuer
183EEOtherNCBCBS INDIVIDUAL NUMBER
7211844MedicaidNC
017H3OtherNCGROUP NUMBER
7301435MedicaidNC
B0333OtherNCMEDCOST INDIVIDUAL NUMBER

Other names 1

  • Crossway Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

9129 Monroe Rd
Ste 100105
Charlotte, NC 28270
Phone (704) 847-2911

9111 Monroe Rd
Ste 100
Charlotte, NC 28270
Phone (704) 847-3911

9129 Monroe Rd
Ste 100015
Charlotte, NC 28270
Phone (704) 847-3911

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1851335459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 MONROE RD",
            "address_2": "SUITE 100-105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702429",
            "telephone_number": "704-847-3911",
            "fax_number": "704-442-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 MONROE RD",
            "address_2": "SUITE 100-015",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702429",
            "telephone_number": "704-847-3911",
            "fax_number": "704-847-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-607-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "183EE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211844",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "017H3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301435",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST INDIVIDUAL NUMBER",
            "identifier": "B0333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossway Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2016; 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.