Individual provider Active NPI

Zach A Story, OTR/L, NSCA-CPT

  • Gerontology Occupational Therapist
  • Graham, NC
National Provider Identifier
1245530005
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
7698 Issued in NC
Practice address
779 Woody Dr
Graham, NC 27253-3812
Phone
(336) 228-0707
NPI assigned
Oct 27, 2010
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 7698 NC Primary

Addresses

Primary practice location

779 Woody Dr
Graham, NC 27253-3812

Mailing address

101 Walshingham LN
Apartment LB
Cary, NC 27513-5263
Phone (310) 866-3850

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
7698NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1245530005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WALSHINGHAM LN",
            "address_2": "APARTMENT LB",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135263",
            "telephone_number": "310-866-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 WOODY DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533812",
            "telephone_number": "336-228-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "ZACH",
        "middle_name": "A",
        "credential": "OTR/L, NSCA-CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "7698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.