Mona Smith Basile, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5477 Issued in NC

Practice address

5101 Prosperity Church Rd
Charlotte, NC 28269-8732

Phone

(704) 548-9111

NPI assigned

Aug 27, 2012

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1861740763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 GEORGETOWN DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 PROSPERITY CHURCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698732",
            "telephone_number": "704-548-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "MONA",
        "middle_name": "SMITH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Basco, BCBA
• Base, PLLC
• Baseline Ultrasound,Inc
• Pamela H. Bashor, CCC-SLP
• Anne Marie Basile, PHARMD
• Scott Lee Basinger, DPM
• Rita Baskett, RPH
• Mary Elizabeth Baskins
• Ekta Basnet, MD
• Zane Basrawala, MD

• Occupational Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.