Active NPI
Andrea Busch, OTR/L
- Pediatric Occupational Therapist
- Wilmington, NC
National Provider Identifier
1124274402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3829
- Practice address
- 3519 Winston Blvd
Wilmington, NC 28403-2640 - Phone
- (910) 612-0944
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3829 | NC | Primary |
Addresses
Primary practice location
3519 Winston Blvd
Wilmington, NC 28403-2640
Mailing address
3519 Winston Blvd
Wilmington, NC 28403-2640
Phone (910) 612-0944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126 AK | Other | NC | BCBS |
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 |
|---|---|---|---|
| 3829 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1124274402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 WINSTON BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032640",
"telephone_number": "910-612-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 WINSTON BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032640",
"telephone_number": "910-612-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "ANDREA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "3829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "126 AK",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.