Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Rose Vitale, OTD

Individual provider Occupational Therapist · NPI 1124865290

Alexis Rose Vitale, OTD is an Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

4009 Craig Ave
Charlotte, NC 28211-2505
Phone: (704) 365-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16835 (NC)

Record details

NPI number1124865290
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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