Jude Upchurch, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15658 Issued in NC

Practice address

3905 University Dr
Durham, NC 27707-2517

Phone

(919) 928-0204

NPI assigned

May 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Emerge-a Child'S Place, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188
  NPD
• Inclusive Pediatric Therapy

  • Pediatric Occupational Therapist
  • Wake Forest, NC
  • NPI 1316662893
  NPD

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1134818347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NEW DOVER RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027130",
            "telephone_number": "919-641-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10205 San Remo Pl",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275871624",
            "country_code": "US",
            "telephone_number": "919-438-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "JUDE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "15658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upchurch Drug Corporation
• Upchurch Optical
• Amanda Fountain Upchurch, ACNPC-AG
• Antoinette Denise Upchurch, MSA
• Gina Upchurch, RPH, MPH
• Mamie Elizabeth Upchurch
• Patrick Amos Upchurch
• Uplift Chiropractic PLLC
• Nisha Jacqueline Uppuluri
• Upstream Therapy PLLC

• Occupational Therapy Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.