Individual provider Active NPI

John Parker Tate, OTR/L

  • Occupational Therapist
  • Forest City, NC
National Provider Identifier
1013329358
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9419 Issued in NC
Practice address
247 Oak St
Suite 145
Forest City, NC 28043-3510
Phone
(828) 245-5003
Fax
(828) 245-5798
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9419 NC Primary

Addresses

Primary practice location

247 Oak St
Suite 145
Forest City, NC 28043-3510

Mailing address

247 Oak St Ext
Suite 145
Forest City, NC 28043-3510
Phone (828) 245-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112000876 NC Practitioner - Occupational Therapist in Private Practice 0345462180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Plus Clinic, Inc.Group PAC ID 0345260634, 3 clinicians

Practice addresses (Care Compare)

247 Oak St Ext
Suite 145
Forest City, NC 28043-4909
Phone (828) 245-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9419NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Plus Clinic, Inc. CurrentSince Sep 15, 2014 Accepting new patients

Locations

247 Oak Street Ext
Ste 145
Forest City, NC 28043
Phone (828) 245-5003

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1013329358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 OAK ST EXT",
            "address_2": "SUITE 145",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433510",
            "telephone_number": "828-245-5003",
            "fax_number": "828-245-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 OAK ST",
            "address_2": "SUITE 145",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433510",
            "telephone_number": "828-245-5003",
            "fax_number": "828-245-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JOHN",
        "middle_name": "PARKER",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.