Organization Active NPI

Sun Rehab, LLC

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1124301627
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4067 Issued in NC
Legal business name
SUN REHAB, LLC
Practice address
4323 Vienna Crest Dr
Raleigh, NC 27613-3348
Phone
(919) 412-3645
Fax
(888) 282-8635
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Jayme Cooper
Title
Owner
Phone
(919) 412-3645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 4067 NC Primary

Addresses

Primary practice location

4323 Vienna Crest Dr
Raleigh, NC 27613-3348

Mailing address

4323 Vienna Crest Dr
Raleigh, NC 27613-3348
Phone (919) 412-3645

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1124301627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 VIENNA CREST DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133348",
            "telephone_number": "919-412-3645",
            "fax_number": "888-282-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 VIENNA CREST DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133348",
            "telephone_number": "919-412-3645",
            "fax_number": "888-282-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-412-3645"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 21, 2011; 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.