Active NPI
Ruth Knight Tucker
- Occupational Therapy Assistant
- Raleigh, NC
National Provider Identifier
1083370001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5102
- Practice address
- 110 Horizon Dr Ste 310
Raleigh, NC 27615-4926 - Phone
- (919) 424-5080
- NPI assigned
- Nov 14, 2021
- 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 | 5102 | SC | Primary |
Addresses
Primary practice location
110 Horizon Dr Ste 310
Raleigh, NC 27615-4926
Mailing address
106A Gilder Creek Dr Apt a
Simpsonville, SC 29681-4228
Phone (864) 256-3512
Other names 1
- Ruth Marie Knight
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 |
|---|---|---|---|
| 5102 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636848000000",
"number": "1083370001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106A GILDER CREEK DR APT A",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814228",
"telephone_number": "864-256-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HORIZON DR STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154926",
"telephone_number": "919-424-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "RUTH",
"middle_name": "KNIGHT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-14",
"last_updated": "2021-11-14",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "5102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "KNIGHT",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.