Individual provider Active NPI

Lindsey Amber Kulchin, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1962146910
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
14969 Issued in NC
Practice address
5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690
Phone
(704) 752-1616
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 14969 NC Primary

Addresses

Primary practice location

5113 Piper Station Dr Ste 103
Charlotte, NC 28277-6690

Mailing address

424 E 36TH St Apt 456
Charlotte, NC 28205-1374
Phone (727) 424-9228

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

State licenses

LicenseStateTypeSpecialty
14969NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Queen City Therapy, PLLC Pediatrics CurrentSince Jul 16, 2023 Accepting new patients

Locations

5113 Piper Station Dr
Ste 103
Charlotte, NC 28277
Phone (704) 752-1616

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1962146910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E 36TH ST APT 456",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051374",
            "telephone_number": "727-424-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776690",
            "telephone_number": "704-752-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCHIN",
        "first_name": "LINDSEY",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "14969",
            "primary": true
        }
    ],
    "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 Apr 26, 2022; 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.