Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alyssa Ly Nicholson, OTD, OTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1184317638

Dr. Alyssa Ly Nicholson, OTD, OTR/L is a Physical Rehabilitation Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4205 Stuart Andrew Blvd Ste I
Charlotte, NC 28217
Phone: (704) 559-9720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 15135 (NC)

Record details

NPI number1184317638
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

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