Active NPI
Charles Mullen, OTR/L
- Occupational Therapist
- Albemarle, NC
National Provider Identifier
1962828970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9105
- Practice address
- 620 Healthwood Drive
Albemarle, NC 28001-8604 - Phone
- (704) 550-5050
- NPI assigned
- Mar 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9105 | NC | Primary |
Addresses
Primary practice location
620 Healthwood Drive
Albemarle, NC 28001-8604
Mailing address
238 Hydrangea Cir NW
Concord, NC 28027-7240
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9105 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1962828970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 HYDRANGEA CIR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 HEALTHWOOD DRIVE",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280018604",
"telephone_number": "704-550-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9105",
"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 Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.