Individual provider Active NPI

Yasmine Monique Neal, OTR/L

  • Occupational Therapist
  • Thomasville, NC
National Provider Identifier
1164616462
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5267 Issued in NC
Practice address
706 Pineywood Rd
Thomasville, NC 27360-2753
Phone
(336) 475-9116
NPI assigned
Aug 29, 2007
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5267 NC Primary

Addresses

Primary practice location

706 Pineywood Rd
Thomasville, NC 27360-2753

Mailing address

706 Pineywood Rd
Thomasville, NC 27360-2753
Phone (336) 475-9116

Other practice location 1

1345 Redmond Rd.
Rome, GA 30161
Phone (706) 234-8281

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

LicenseStateTypeSpecialty
5267NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1164616462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 PINEYWOOD RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602753",
            "telephone_number": "336-475-9116",
            "fax_number": "336-475-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 PINEYWOOD RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602753",
            "telephone_number": "336-475-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Redmond Rd.",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "30161",
            "country_code": "US",
            "telephone_number": "706-234-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "YASMINE",
        "middle_name": "MONIQUE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.