Individual provider Active NPI

Christina A Paschke, OT

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1184794695
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005782 Issued in IL
Practice address
1919 Nun St
Wilmington, NC 28403-2137
Phone
(815) 341-3837
Fax
(833) 623-7165
NPI assigned
Nov 9, 2006
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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 056005782 IL Primary

Addresses

Primary practice location

1919 Nun St
Wilmington, NC 28403-2137

Mailing address

1919 Nun St
Wilmington, NC 28403-2137
Phone (815) 341-3837

Other identifiers 1

IdentifierTypeStateIssuer
009932357OtherILBCBS ID #

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
056005782ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations First Children's Therapy Occupational Therapist Current 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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1184794695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NUN ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032137",
            "telephone_number": "815-341-3837",
            "fax_number": "833-623-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NUN ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032137",
            "telephone_number": "815-341-3837",
            "fax_number": "833-623-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHKE",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "009932357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.