Active NPI
Glenda S. Artis, OTR/L
- Occupational Therapist
- Greenville, NC
National Provider Identifier
1023124682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0153
- 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.
-
- Occupational Therapist
- Greenville, NC
- NPI 1275559759
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 |
|---|---|---|---|
| 0153 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Life Center, Inc. | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0153 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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.