James Pruitt
Individual provider Active NPI Occupational Therapy Assistant · Newport, NC
NPI 1104307669 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1104307669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 11553 (NC)
- Practice address
- 210 Foxhall Rd
Newport, NC 28570-6790 - Phone
- (252) 223-2560
- NPI assigned
- Aug 23, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11553 | NC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 11553 | NC | Yes |
Addresses
Primary practice location
210 Foxhall Rd
Newport, NC 28570-6790
Mailing address
504 Maize CT
Hubert, NC 28539-4075
Other providers in Newport, NC
- Open Water Medical, PA
- Nicole Kathryn Orlowski
- Kimerly Ann Pawlicki
- Cassaundra Vawter Peck
- Hai-Duong T Phan
- Richard a Bloomfield
- Richard a Bloomfield & Philip R Bloomfield
- Penny H. Rimmer
- River Neuse Group, LLC
- Safe Harbour Family Care
All providers in Newport, NC · Occupational Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.