Individual provider Active NPI

Margaret Grayson Porter, OTRL

  • Pediatric Occupational Therapist
  • High Point, NC
National Provider Identifier
1124037353
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4601 Issued in NC
Practice address
110 Scott Ave
Suite 14
High Point, NC 27262-7834
Phone
(336) 207-8957
Fax
(336) 886-1247
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4601 NC Primary

Addresses

Primary practice location

110 Scott Ave
Suite 14
High Point, NC 27262-7834

Mailing address

1104 Greenway Dr
High Point, NC 27262-2843
Phone (336) 207-8957

Other identifiers 1

IdentifierTypeStateIssuer
7301625MedicaidNC

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
4601NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Progressive Therapy Services P.C. Pediatrics Past Accepting new patients
Porter Pediatric Therapy P.C. Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1124037353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 GREENWAY DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622843",
            "telephone_number": "336-207-8957",
            "fax_number": "336-886-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE",
            "address_2": "SUITE 14",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627834",
            "telephone_number": "336-207-8957",
            "fax_number": "336-886-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARGARET",
        "middle_name": "GRAYSON",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.