Active NPI
Nathan Jarvis, OTR/L
- Occupational Therapist
- Huntersville, NC
National Provider Identifier
1013565878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12364
- Practice address
- 10030 Gilead Rd
Huntersville, NC 28078-7545 - Phone
- (704) 316-4000
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 12364 | NC | Primary |
Addresses
Primary practice location
10030 Gilead Rd
Huntersville, NC 28078-7545
Mailing address
6610 Olmsford Dr
Huntersville, NC 28078-6456
Phone (802) 393-7788
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 |
|---|---|---|---|
| 12364 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1013565878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 OLMSFORD DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786456",
"telephone_number": "802-393-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10030 GILEAD RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787545",
"telephone_number": "704-316-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "NATHAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.