ERIC PETTICE (NPI# 1942720925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942720925 |
| Entity Type | Individual |
| Full Name | ERIC PETTICE |
| Practice Address |
620 Tom Hunter Rd Charlotte NC 28213-5511 |
| Mailing Address |
9812 Aventide Ln Charlotte NC 28215-6099 |
| Practice Telephone | 7045985136 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
620 TOM HUNTER RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689621880 | Hunter Woods Healthcare LLC | Skilled Nursing Facility | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2006-05-31 |
| 1679828719 | Charles Maurice Phifer | Occupational Therapy Assistant | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2012-07-15 |
| 1013288042 | Michelle Lynn Raymond | Occupational Therapist | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2012-01-23 |
| 1851676282 | Jonina Lowe | Speech-Language Pathologist | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2011-10-17 |
| 1285758326 | Danica Monique Jackson | Occupational Therapist | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1952956930 | Brenda Arko | Occupational Therapy Assistant | 9111 Monroe Rd, Charlotte, NC 28270-2438 | 2019-08-06 |
| 1942854351 | A Grade Realty LLC | Occupational Therapy Assistant | 5313 Timbertop Ln, Charlotte, NC 28215-7549 | 2019-07-25 |
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1730657032 | Heather Jo Creech | Occupational Therapy Assistant | 5215 Randolph Rd, Charlotte, NC 28211-5160 | 2018-11-05 |
| 1477052702 | Tayla Palacios | Occupational Therapy Assistant | 202 Warren St, Charlotte, MI 48813 | 2018-02-01 |
| 1366955221 | Deatrice Kierah Mosley | Occupational Therapy Assistant | 501 Farmhurst Dr, Charlotte, NC 28217-4924 | 2017-11-14 |
| 1649668864 | Linda Callahan | Occupational Therapy Assistant | 8636 Gruenewald Ln, Charlotte, NC 28210-5862 | 2014-12-23 |
| 1528460136 | Ryan Lee Dexter | Occupational Therapy Assistant | 7410 Willow Creek Dr, Charlotte, NC 28270-2853 | 2014-09-25 |
| 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.