Active NPI
Latifa Khoubach
- Occupational Therapist
- Raeford, NC
National Provider Identifier
1033925359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14220
- Practice address
- 1206 Fulton St
Raeford, NC 28376-1926 - Phone
- (910) 875-4280
- NPI assigned
- Dec 10, 2024
- 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 | 14220 | MA | Primary |
Addresses
Primary practice location
1206 Fulton St
Raeford, NC 28376-1926
Mailing address
26 Arlington Ave Apt 3
Revere, MA 02151-5673
Phone (617) 270-0425
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 |
|---|---|---|---|
| 14220 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1033925359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 ARLINGTON AVE APT 3",
"city": "REVERE",
"state": "MA",
"postal_code": "021515673",
"telephone_number": "617-270-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 FULTON ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283761926",
"telephone_number": "910-875-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOUBACH",
"first_name": "LATIFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.