Active NPI
Casey C Reid, COTA
- Occupational Therapy Assistant
- Greenville, NC
National Provider Identifier
1053638643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7484
- Practice address
- 2818 Mulberry LN Apt D
Greenville, NC 27858-5756 - Phone
- (910) 494-8840
- NPI assigned
- Apr 22, 2010
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | 7484 | NC | Primary |
Addresses
Primary practice location
2818 Mulberry LN Apt D
Greenville, NC 27858-5756
Mailing address
2818 Mulberry LN Apt D
Greenville, NC 27858-5756
Phone (910) 494-8840
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 |
|---|---|---|---|
| 7484 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1053638643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 MULBERRY LN APT D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585756",
"telephone_number": "910-494-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 MULBERRY LN APT D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585756",
"telephone_number": "910-494-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "CASEY",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-22",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "7484",
"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 Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.