Organization Active NPI

Pamlico Pediatric Therapy

  • Occupational Therapist
  • Washington, NC
National Provider Identifier
1154581940
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5144 Issued in NC
Legal business name
PAMLICO PEDIATRIC THERAPY
Practice address
111 Avon Ave
Washington, NC 27889-3840
Phone
(252) 975-1234
Fax
(252) 975-1000
NPI assigned
Jun 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Ms. Catherine Amanda Oestreich, OTR/L
Title
Occupational Therapist/Owner
Phone
(252) 975-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5144 NC Primary

Addresses

Primary practice location

111 Avon Ave
Washington, NC 27889-3840

Mailing address

111 Avon Ave
Washington, NC 27889-3840
Phone (252) 975-1234

National Provider Directory

National Provider Directory

Locations

111 Avon Ave
Washington, NC 27889
Phone (252) 414-4023

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1154581940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893840",
            "telephone_number": "252-975-1234",
            "fax_number": "252-975-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVON AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893840",
            "telephone_number": "252-975-1234",
            "fax_number": "252-975-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMLICO PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "OESTREICH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "252-975-1234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.