IndividualActive
Alyssa Ly Nicholson, OTD, OTR/L
NPI 1184317638 · Physical Rehabilitation Occupational Therapist · Charlotte, NC
Provider details
- NPI number
- 1184317638
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 15135 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4205 Stuart Andrew Blvd Ste I
Charlotte, NC 28217
Phone: (704) 559-9720
Street-level locationGet directions
Mailing address
3020i Prosperity Church Rd # 521
Charlotte, NC 28269-8112
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.