Active NPI
Whitney Mabe Harrison
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1134475932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8152
- Practice address
- 600 W Clemmonsville Rd
Winston Salem, NC 27127-5045 - Phone
- (336) 236-6546
- NPI assigned
- Jul 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 8152 | NC | |
| Occupational Therapist | 225X00000X | 8152 | NC | Primary |
Addresses
Primary practice location
600 W Clemmonsville Rd
Winston Salem, NC 27127-5045
Mailing address
600 W Clemmonsville Rd
Winston Salem, NC 27127-5045
Phone (336) 236-6546
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8152 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ot4Kids, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1134475932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CLEMMONSVILLE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271275045",
"telephone_number": "336-236-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CLEMMONSVILLE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271275045",
"telephone_number": "336-236-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "WHITNEY",
"middle_name": "MABE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2023-08-17",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "8152",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.