Organization Active NPI

Stimulate Your Child

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1902289853
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7509 Issued in NC
Legal business name
STIMULATE YOUR CHILD
Practice address
11721 Oak St
Charlotte, NC 28269-2318
Phone
(704) 975-2840
Fax
(704) 248-8370
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Georgiana Chevalier Luke-Henry, OTR/LNPI 1134276843
Title
Director
Phone
(704) 975-2840

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 7509 NC Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

11721 Oak St
Charlotte, NC 28269-2318

Mailing address

11721 Oak St
Charlotte, NC 28269-2318
Phone (704) 975-2840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1902289853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 OAK ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692318",
            "telephone_number": "704-975-2840",
            "fax_number": "704-248-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 OAK ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692318",
            "telephone_number": "704-975-2840",
            "fax_number": "704-248-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIMULATE YOUR CHILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "LUKE-HENRY",
        "authorized_official_first_name": "GEORGIANA",
        "authorized_official_middle_name": "CHEVALIER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-975-2840",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "7509",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 1, 2015; 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.