Active NPI
Obx Developmental Therapy, LLC
- Community/Behavioral Health Agency
- Kill Devil Hills, NC
National Provider Identifier
1093604423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- OBX DEVELOPMENTAL THERAPY, LLC
- Practice address
- 405 W 3Rd St
Kill Devil Hills, NC 27948-6874 - Phone
- (919) 274-1032
- NPI assigned
- Jul 1, 2025
- Last updated
- Jul 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Gates
- Title
- Owner
- Phone
- (919) 274-1032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
405 W 3Rd St
Kill Devil Hills, NC 27948-6874
Mailing address
405 W 3Rd St
Kill Devil Hills, NC 27948-6874
Phone (919) 274-1032
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Developmental Therapist
- Morrisville, NC
- NPI 1104153972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1093604423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W 3RD ST",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279486874",
"telephone_number": "919-274-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 3RD ST",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279486874",
"telephone_number": "919-274-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBX DEVELOPMENTAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-30",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-274-1032"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kill Devil Hills, NC
- Rachael Newton, RBT
- Next Step in Home Therapy LLC
- Theodore William Nicholas, M.D.
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #17838)
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #07361)
- Austin Pascoe, RBT
- Michaela Anne Raach, OTR/L
- Samuel Irby Smith DDS PA
- Brooke Scarborough, BT
- Rikki Rose Schuster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.