Active NPI
Carolynn Shanique Solano, M.S.O.T.
- Occupational Therapist
- Concord, NC
National Provider Identifier
1952518359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7113
- Practice address
- 9597 Indian Beech Ave NW
Concord, NC 28027-3573 - Phone
- (973) 896-4332
- NPI assigned
- May 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7113 | NC | Primary |
| Developmental Therapist | 222Q00000X | NC | ||
| Community/Behavioral Health Agency | 251S00000X | NC |
Addresses
Primary practice location
9597 Indian Beech Ave NW
Concord, NC 28027-3573
Mailing address
9597 Indian Beech Ave NW
Concord, NC 28027-3573
Phone (973) 896-4332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302158 | Medicaid | NC |
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 |
|---|---|---|---|
| Lifetouchtherapy, PLLC | Developmental Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1952518359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9597 INDIAN BEECH AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273573",
"telephone_number": "973-896-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9597 INDIAN BEECH AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273573",
"telephone_number": "973-896-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLANO",
"first_name": "CAROLYNN",
"middle_name": "SHANIQUE",
"name_prefix": "Mrs.",
"credential": "M.S.O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7113",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302158",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.