Individual provider Active NPI

Glenda S. Artis, OTR/L

  • Occupational Therapist
  • Greenville, NC
National Provider Identifier
1023124682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0153 Issued in NC
Practice address
102 Eastbrook Dr
Suite C
Greenville, NC 27858-4211
Phone
(252) 830-0245
Fax
(252) 830-0247
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
0153NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Life Center, Inc. Occupational Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0153 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

102 Eastbrook Dr
Suite C
Greenville, NC 27858-4211

Mailing address

PO Box 2163
Greenville, NC 27836-0163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023124682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2163",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278360163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EASTBROOK DR",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584211",
            "telephone_number": "252-830-0245",
            "fax_number": "252-830-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIS",
        "first_name": "GLENDA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "0153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.