Healthcare Provider Details

I. General information

NPI: 1962316455
Provider Name (Legal Business Name): MICHAEL HOWTON OT/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 FOREST POINT BLVD STE 150
CHARLOTTE NC
28273-0219
US

IV. Provider business mailing address

13202 PLANTERS ROW DR
CHARLOTTE NC
28278-0012
US

V. Phone/Fax

Practice location:
  • Phone: 980-422-5887
  • Fax:
Mailing address:
  • Phone: 980-422-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number18848
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: