NPIMap

Organization Active NPI

Occupational Therapy Plus, Inc.

  • Occupational Therapist
  • Washington, NC
National Provider Identifier
1194769877
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
063 Issued in NC
Legal business name
OCCUPATIONAL THERAPY PLUS, INC.
Practice address
405 W 15TH St
Washington, NC 27889-3524
Phone
(252) 975-1992
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Mr. James Gaynor, OT
Title
Owner/ President
Phone
(252) 975-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 063 NC Primary

Addresses

Primary practice location

405 W 15TH St
Washington, NC 27889-3524

Mailing address

405 W 15TH St
Washington, NC 27889-3524
Phone (252) 975-1992

Other identifiers 2

IdentifierTypeStateIssuer
720211WMedicaidNC
0211WOtherNCBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1194769877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893524",
            "telephone_number": "252-975-1992",
            "fax_number": "252-975-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893524",
            "telephone_number": "252-975-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "252-975-1992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720211W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0211W",
            "state": "NC"
        }
    ],
    "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 Mar 31, 2010; 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.