Active NPI
Nita Fowler Halloran, OTR/L
- Occupational Therapist
- Southern Pines, NC
National Provider Identifier
1013167816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4541
- Practice address
- 103 Gossman Rd
Southern Pines, NC 28387-2225 - Phone
- (910) 692-7293
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4541 | NC | Primary |
Addresses
Primary practice location
103 Gossman Rd
Southern Pines, NC 28387-2225
Mailing address
5604 7 LKS W
West End, NC 27376-9338
Phone (910) 673-5395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4541 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1013167816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 7 LKS W",
"city": "WEST END",
"state": "NC",
"postal_code": "273769338",
"telephone_number": "910-673-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GOSSMAN RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872225",
"telephone_number": "910-692-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLORAN",
"first_name": "NITA",
"middle_name": "FOWLER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.