MEDICARE: REBECCA NUGENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	14978	NC

General Provider Information

NPI Number	:	1528927258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA NUGENT

Provider Business Mailing Address
First Line	:	2412 N PINE ST UNIT 5306
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-4107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2412 N PINE ST UNIT 5306
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-4107
Country	:	US
Telephone Number	:	704-308-1881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ REBECCA NUGENT ” Practice Location

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