Individual provider Active NPI

Jessica Elizabeth Boyter, OTR/L

  • Occupational Therapist
  • Chapel Hill, NC
National Provider Identifier
1043738669
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10782 Issued in NC
Practice address
1829 E Franklin St Ste 600
Chapel Hill, NC 27514
Phone
(919) 968-3456
NPI assigned
Sep 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 10782 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 600
Chapel Hill, NC 27514

Mailing address

2707 Ashley St
Durham, NC 27704-2654

Other practice location 1

2414 Stevens Road
Raleigh, NC 27610
Phone (803) 210-7944

Other practice location 2

2414 Stevens Road
Raleigh, NC 27610
Phone (803) 210-7944

Other identifiers 1

IdentifierTypeStateIssuer
10782OtherNCNORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY

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
10782NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehabilitation Inc Occupational Therapist PastSince Nov 10, 2019 Accepting new patients

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": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1043738669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 ASHLEY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-968-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Stevens Road",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27610",
            "country_code": "US",
            "telephone_number": "803-210-7944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2414 Stevens Road",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27610",
            "country_code": "US",
            "telephone_number": "803-210-7944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYTER",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "10782",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.