Active NPI
Jeffrey Riedel-Bicknell, OTR L
- Occupational Therapist
- Mint Hill, NC
National Provider Identifier
1174647374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5697
- Practice address
- 10620 Stone Bunker Drive
Mint Hill, NC 28227-7036 - Phone
- (704) 771-0051
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5697 | NC | Primary |
Addresses
Primary practice location
10620 Stone Bunker Drive
Mint Hill, NC 28227-7036
Mailing address
PO Box 691775
Mint Hill, NC 28227-7030
Phone (704) 771-0051
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5697 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Rehab | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174647374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691775",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277030",
"telephone_number": "704-771-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 STONE BUNKER DRIVE",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277036",
"telephone_number": "704-771-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDEL-BICKNELL",
"first_name": "JEFFREY",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mint Hill, NC
- Revitalized, LLC
- Revived Senior Living
- Christopher John Reynolds, OD
- Madison Richardson
- Ericka Riddle, ATC, LAT, EMT-B
- Sydney Lee Rivera, PA
- Robert L Young 2 DDS PA (Young and Polite Children's Dentistry)
- Charles Buxton Dodge Roebling, LMBT
- Julie Dumbaugh Romanin, LCMHCA
- Royal Kartier Beauyt Spa Health and Wellness PLLC (Royal Kartier Beauty Spa Health and Wellness PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.