Individual provider Active NPI

Charley Jo Cross, OTR/L

  • Occupational Therapist
  • Albemarle, NC
National Provider Identifier
1902380223
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12105 Issued in NC
Practice address
350 Pee Dee Ave
Albemarle, NC 28001-4932
Phone
(866) 272-7826
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12105 NC Primary

Addresses

Primary practice location

350 Pee Dee Ave
Albemarle, NC 28001-4932

Mailing address

919 Fermer Rd
Asheboro, NC 27203-7793
Phone (336) 953-8204

Other practice location 1

100 Parkway Office Ct Ste 202
Cary, NC 27518-7438
Phone (919) 239-4805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211001202 NC Practitioner - Occupational Therapist in Private Practice 4789928276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Technology Dr
Suite a
Asheville, NC 28803-5009
Phone (828) 251-6319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12105NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Aug 24, 2020 Accepting new patients
Monarch Occupational Therapist Current Accepting new patients
Monarch CurrentSince Aug 24, 2020 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 14, 2023 Accepting new patients
Low Vision Rehab Solutions, LLC Occupational Therapist PastSince Oct 1, 2021 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

100 Technology Dr
Ste A
Asheville, NC 28803
Phone (828) 251-6319

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1099 Medical Center Dr
Ste 102
Wilmington, NC 28401
Phone (919) 445-0680

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1902380223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FERMER RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272037793",
            "telephone_number": "336-953-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014932",
            "telephone_number": "866-272-7826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Parkway Office Ct Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187438",
            "country_code": "US",
            "telephone_number": "919-239-4805",
            "fax_number": "855-497-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "CHARLEY",
        "middle_name": "JO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12105",
            "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 Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.