CAROLINA ACCESS SUPPORT & ENRICHMENT SERVICES INC (NPI# 1972809903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972809903 |
| Entity Type | Organization |
| Organization Name | CAROLINA ACCESS SUPPORT & ENRICHMENT SERVICES INC |
| Practice Address |
5108 Reagan Dr Suite 10 Charlotte NC 28206-3103 |
| Practice Telephone | 7042009949 |
| Practice Fax Number | 7043537233 |
| Mailing Telephone | 7042009949 |
| Mailing Fax Number | 7043537233 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | MS. FELICIA ELIZABETH CAMPBELL (CEO) |
| Authorized Official Telephone | 7042009949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5108 REAGAN DR SUITE 10 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948196 | Marcus Jamar Gaddy | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2020-09-24 |
| 1336771898 | Sam Hawk | Counselor | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-1395 | 2020-02-12 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| 1790295731 | Rebecca Schrenker | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2017-10-04 |
| 1770030918 | Caroline Watkins | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2016-09-06 |
| 1447705082 | Alexis Brightman | Psychologist | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-3103 | 2016-08-24 |
| 1558755116 | Chenita Freeman | Counselor | 5108 Reagan Dr, Suite 14, Charlotte, NC 28206-3103 | 2015-03-22 |
| 1275922593 | Britney Elizabeth Harrington | Counselor | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2015-01-12 |
| 1235530635 | Clivia Milburn | Counselor | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2014-09-04 |
| 1083022008 | Amber Snyder | Social Worker | 5108 Reagan Dr, Charlotte, NC 28206-3103 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1487172060 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4220 N Tryon St, Charlotte, NC 28206 | 2017-09-05 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279863 | Jessica Laser | Occupational Therapist | 8819 Norway Ct, Charlotte, NC 28269-5180 | 2020-09-13 |
| 1700424397 | Elizabeth Gendernalik | Occupational Therapist | 1027 Healthcare Dr, Charlotte, MI 48813-1056 | 2019-12-15 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1144865734 | Darci Pernoud | Occupational Therapist | 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 | 2019-11-07 |
| 1619527199 | Paige Nicole Chester | Occupational Therapist | 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 | 2019-09-16 |
| 1528628823 | Happy Kids Therapy | Occupational Therapist | 11012 Knight Castle Dr, Charlotte, NC 28277-0212 | 2019-06-18 |
| 1861957235 | Rachel Floren Payne | Occupational Therapist | 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 | 2019-02-09 |
| 1497234611 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 | 2018-08-08 |
| 1023520558 | Brittany Stanton | Occupational Therapist | 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 | 2017-10-24 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.