Dr Alyssa Ly Nicholson, OTD, OTR/L - Occupational Therapist in Charlotte, NC

Dr Alyssa Ly Nicholson, OTD, OTR/L is a Occupational Therapist - Physical Rehabilitation based in Charlotte, North Carolina. Dr Alyssa Ly Nicholson is licensed to practice in North Carolina (license number 15135) and her current practice location is 4205 Stuart Andrew Blvd Ste I, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 559-9720.

NPI number for Dr Alyssa Ly Nicholson is 1184317638 and her current mailing address is 3020i Prosperity Church Rd # 521, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184317638.

Contact Information

Dr Alyssa Ly Nicholson, OTD, OTR/L
4205 Stuart Andrew Blvd Ste I,
Charlotte, NC 28217
(704) 559-9720
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Alyssa Ly Nicholson
GenderFemale
SpecialityOccupational Therapist - Physical Rehabilitation
Location4205 Stuart Andrew Blvd Ste I, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184317638
  • Provider Enumeration Date: 05/31/2023
  • Last Update Date: 11/17/2023

Medical Identifiers

Medical identifiers for Dr Alyssa Ly Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184317638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0019XOccupational Therapist - Physical Rehabilitation 15135 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alyssa Ly Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alyssa Ly Nicholson, OTD, OTR/L
3020i Prosperity Church Rd # 521,
Charlotte, NC 28269-8112

Ph: () -
Dr Alyssa Ly Nicholson, OTD, OTR/L
4205 Stuart Andrew Blvd Ste I,
Charlotte, NC 28217

Ph: (704) 559-9720

Reviews and Comments


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